DR. KRISTIN READ CAMPOS PH.D.
NPI 1154737948
Psychologist - Clinical in Atascadero, CA

Q: What is Kristin Campos's NPI number?

The NPI number for Kristin Campos is 1154737948. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Kristin Campos's specialty?

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

Q: Is Kristin Campos enrolled in Medicare?

No. Kristin Campos 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.

Q: When was this NPI record last updated?

The NPPES record for Kristin Campos was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 01, 2014Opted out of Medicare · through Jan 1, 2028

5955 CAPISTRANO AVE STE E, ATASCADERO, CA 93422(805) 703-5330 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2021, Sep 21, 2021 (2 updates tracked since 2021).

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About Dr. Kristin Read Campos Ph.d. NPPES

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

DR. KRISTIN READ CAMPOS PH.D. (NPI 1154737948) is an individual clinical provider in Atascadero, California, licensed in California (29401) and active in the NPI registry since July 2014. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1154737948

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KRISTIN READ CAMPOSCredential: PH.D.

Location Address5955 CAPISTRANO AVE STE EAtascadero, CA 93422-7227

Mailing Address5955 Capistrano Ave Ste EAtascadero, CA 93422-7227 · (805) 703-5330

Phone(805) 703-5330

Sole ProprietorNo

Enumeration DateJuly 1, 2014

Last NPPES UpdateOctober 24, 20212 updates tracked since enumeration

NPPES CertifiedOctober 24, 2021

✔ NPI 1154737948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 29401

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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 29401 (CA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 29401 (CA)

5955 CAPISTRANO AVE STE E, Atascadero, CA 93422

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kristin Read Campos Ph.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, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

DR. SUZANNE C MACLELLAND PSYD

Psychologist (Counseling)