DR. BRIAN MATTHEW CAMPBELL PH.D.
NPI 1093863466
Psychologist - Clinical in Lake Mary, FL

Active since January 08, 2007
405 WAYMONT CT, SUITE 111, LAKE MARY, FL 32746(407) 322-6868 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Matthew Campbell Ph.d. NPPES

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

DR. BRIAN MATTHEW CAMPBELL PH.D. (NPI 1093863466) is an individual clinical provider in Lake Mary, Florida, licensed in Florida (PY0004142) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1093863466
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN MATTHEW CAMPBELLCredential: PH.D.
Location Address405 WAYMONT CT, SUITE 111Lake Mary, FL 32746-3586
Mailing Address405 Waymont Ct, Suite 111Lake Mary, FL 32746-3586 · (407) 322-6868
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093863466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY0004142
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
405 WAYMONT CT, Lake Mary, FL 32746

Other Identifiers 5

Medicare ID-Type Unspecified73535AFL
Other73535FL · Blue Cross Blue Shield
Other0005337111FL · Aetna Pin Brian Campbell
Other053111FL · Value Options
Other1467491829FL · Npi New Life Christian C

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.

Psychologist (School)
405 WAYMONT CT, SUITE 111
LAKE MARY, FL 32746
Psychologist (Clinical)
405 WAYMONT CT, STE. 111
LAKE MARY, FL 32746
Pharmacist
405 WAYMONT CT, SUITE 101
LAKE MARY, FL 32746

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 Brian Campbell's NPI number?

The NPI number for Brian Campbell is 1093863466. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Brian Campbell located?

Brian Campbell practices at 405 Waymont Ct Suite 111, Lake Mary, FL 32746. The listed phone number is (407) 322-6868.

What is Brian Campbell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brian Campbell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.