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

Q: 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.

Q: What is Benjamin Campbell's specialty?

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

Q: When was this NPI record last updated?

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

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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

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Medicare Participation & PECOS CMS

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

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.

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)