DR. PHILOMENA LUCILLE CAMPBELL (NPI# 1801363882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801363882 |
| Entity Type | Individual |
| Full Name | DR. PHILOMENA LUCILLE CAMPBELL |
| Credential | PSY.D. |
| Practice Address |
2909 W Bay To Bay Blvd Ste 200 Tampa FL 33629-8175 |
| Practice Telephone | 8133815200 |
| Mailing Telephone | 8133815200 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY10298 | FL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
2909 W BAY TO BAY BLVD STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-8175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772093 | Katherine Louise Hittel | Psychologist | 2909 W Bay To Bay Blvd Ste 200, Tampa, FL 33629-8175 | 2012-05-23 |
| 1003150780 | Matthew Paul Hill | Counselor | 2909 W Bay To Bay Blvd Ste 200, Tampa, FL 33629-8175 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489293 | David Ritchie | Clinical Neuropsychologist | 3108 W Cypress St, Tampa, FL 33607-5108 | 2015-06-12 |
| 1114334380 | Tahirin Artreches | Clinical Neuropsychologist | 2907 W Bay To Bay Blvd Ste 340, Tampa, FL 33629-7449 | 2014-07-18 |
| 1912226655 | Erin Kimberly Bailey | Clinical Neuropsychologist | 2835 W. De Leon St., Suite 205, Tampa, FL 33609 | 2010-05-20 |
| 1144460783 | Marc A. Silva | Clinical Neuropsychologist | 13000 Bruce B Downs Blvd # 116b, James A. Haley Veterans' Hospital, Tampa, FL 33612-4745 | 2009-02-23 |
| 1417145905 | Zoe E Proctor-weber | Clinical Neuropsychologist | 13523 Capitol Dr, Tampa, FL 33613-3105 | 2007-10-09 |
| 1659562593 | Alison J Donnell | Clinical Neuropsychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2007-08-06 |
| 1548484348 | Jeffrey Michael Merin | Clinical Neuropsychologist | 3703 W Swann Ave, Tampa, FL 33609-4521 | 2007-04-12 |
| 1295876761 | Rebecca Mcalaster | Clinical Neuropsychologist | Tampa General Hospital Rehabilitation Center, 2 Columbia Dr, Tampa, FL 33606-1289 | 2007-02-09 |
| 1124123534 | Florida Medical Psychology Associates, LLC | Clinical Neuropsychologist | 12167 W. Linebaugh Ave., Tampa, FL 33626-4615 | 2006-09-13 |
| 1902810153 | Andrea Lynn Friedman | Clinical Neuropsychologist | 12169 W Linebaugh Ave, Westchase, Tampa, FL 33626-1732 | 2006-07-27 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.