1. Home
  2. Directory
  3. California
  4. Oakland
  5. Psychologist
  6. NPI Profile

BENJAMIN CAMPBELL PH.D.
NPI 1194955609
Psychologist - Clinical in Oakland, CA

Active since July 17, 2009PECOS Enrolled
3505 BROADWAY FL 4, OAKLAND, CA 94611(510) 752-1075 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Jan 3, 2022, Oct 30, 2019 and 1 more (4 updates tracked since 2019).

About Benjamin Campbell Ph.d. NPPES

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

BENJAMIN CAMPBELL PH.D. (NPI 1194955609) is an individual clinical provider in Oakland, California, licensed in California (PSY27055) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194955609
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameBENJAMIN CAMPBELLCredential: PH.D.
Location Address3505 BROADWAY FL 4Oakland, CA 94611-5798
Mailing Address3505 Broadway Fl 4Oakland, CA 94611-5798 · (510) 752-1075
Phone(510) 752-1075
Sole ProprietorNo
Enumeration DateJuly 17, 2009
Last NPPES UpdateJuly 7, 20234 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1194955609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY27055
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 · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY27055 (CA)
3505 BROADWAY FL 4, Oakland, CA 94611
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Campbell Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.6 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

TINA YAQING CAI LAM MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1075
NANCY S CHANG
Social Worker (Clinical)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1000
MISS SOPHIA LING WONG
Pharmacist
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1401
LUIS ALBERTO JIMENEZ-CAMARGO PH.D.
Counselor (Mental Health)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1075
DR. JORDAN DANIELLE LEE PSYD
Psychologist (Clinical)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-5324
DR. CHELSEA KIRSTIN ACKER PSYD
Psychologist (Clinical Child & Adolescent)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1075

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 Benjamin Campbell's NPI number?

The NPI number for Benjamin Campbell is 1194955609. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Benjamin Campbell located?

Benjamin Campbell practices at 3505 Broadway Fl 4, Oakland, CA 94611. The listed phone number is (510) 752-1075.

What is Benjamin Campbell's specialty?

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

Is Benjamin Campbell enrolled in Medicare?

Yes. Benjamin Campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Campbell reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Campbell was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.