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SAMUEL CAMPBELL JR.
NPI 1073128492
Residential Treatment Facility, Emotionally Disturbed Children in Bakersfield, CA

Active since September 11, 2020
4200 CRESCENT ROCK LN, BAKERSFIELD, CA 93311(310) 930-0199(818) 475-1914 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Campbell Jr. NPPES

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

SAMUEL CAMPBELL JR. (NPI 1073128492) is an individual residential treatment facility, emotionally disturbed children provider in Bakersfield, California, licensed in California (157806092) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1073128492
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameSAMUEL CAMPBELL JR.
Location Address4200 CRESCENT ROCK LNBakersfield, CA 93311-2860
Mailing Address9556 Langdon AveNorth Hills, CA 91343-2103 · (310) 930-0199
Phone(310) 930-0199
Fax(818) 475-1914
Sole ProprietorYes
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1073128492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in CA · 157806092
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4200 CRESCENT ROCK LN, Bakersfield, CA 93311
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVINDRA PEIRIS
Rehabilitation Practitioner
4200 CRESCENT ROCK LN
BAKERSFIELD, CA 93311
Kern County (661) 491-3402
TIFFANY EARNEST LCSW
Social Worker (Clinical)
4200 CRESCENT ROCK LN
BAKERSFIELD, CA 93311
Kern County (661) 491-3402
WILLIE YOUNG'S HOME FOR YOUNG MEN
Residential Treatment Facility, Emotionally Disturbed Children
4200 CRESCENT ROCK LN
BAKERSFIELD, CA 93311
Kern County (661) 491-3402

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 Samuel Campbell's NPI number?

The NPI number for Samuel Campbell is 1073128492. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Samuel Campbell located?

Samuel Campbell practices at 4200 Crescent Rock Ln, Bakersfield, CA 93311. The listed phone number is (310) 930-0199.

What is Samuel Campbell's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Samuel Campbell was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.