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JAMES EARNEST CAMPBELL M.D.
NPI 1063405629
Psychiatry & Neurology - Child & Adolescent Psychiatry in Glendale, AZ

Active since August 29, 2005Opted out of Medicare · through Jan 1, 2028
4747 W COUNTRY GABLES DR., GLENDALE, AZ 85306(602) 439-2400(602) 439-1414 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Earnest Campbell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES EARNEST CAMPBELL M.D. (NPI 1063405629) is an individual child & adolescent psychiatry provider in Glendale, Arizona, licensed in Arizona (5458) and active in the NPI registry since August 2005. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063405629
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJAMES EARNEST CAMPBELLCredential: M.D.
Location Address4747 W COUNTRY GABLES DR.Glendale, AZ 85306
Mailing Address5350 W Bell Rd., Ste C-122 #602Glendale, AZ 85308 · (602) 439-2400 · Fax (602) 439-1414
Phone(602) 439-2400
Fax(602) 439-1414
Sole ProprietorYes
Enumeration DateAugust 29, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1063405629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in AZ · 5458
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 5458 (AZ)
4747 W COUNTRY GABLES DR., Glendale, AZ 85306
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Other Identifiers 1

Other5458AZ · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

James Earnest Campbell M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Campbell's NPI number?

The NPI number for James Campbell is 1063405629. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is James Campbell located?

James Campbell practices at 4747 W Country Gables Dr., Glendale, AZ 85306. The listed phone number is (602) 439-2400.

What is James Campbell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is James Campbell enrolled in Medicare?

No. James Campbell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Campbell was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.