DR. ROBERT BRUCE CAMPBELL PSY.D., M.DIV.
NPI 1225375389
Psychologist - Clinical in Park Ridge, IL

Q: What is Robert Campbell's NPI number?

The NPI number for Robert Campbell is 1225375389. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Q: What is Robert 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 Robert Campbell was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 09, 2013PECOS EnrolledAccepts Medicare Assignment

1400 RENAISSANCE DR, SUITE 401, PARK RIDGE, IL 60068(847) 318-8200(847) 318-9170 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Robert Bruce Campbell Psy.d., M.div. NPPES

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

DR. ROBERT BRUCE CAMPBELL PSY.D., M.DIV. (NPI 1225375389) is an individual clinical provider in Park Ridge, Illinois, licensed in Illinois (071008486) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225375389

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ROBERT BRUCE CAMPBELLCredential: PSY.D., M.DIV.

Location Address1400 RENAISSANCE DR, SUITE 401Park Ridge, IL 60068-1329

Mailing Address1400 Renaissance Dr, Suite 401Park Ridge, IL 60068-1329 · (847) 318-8200 · Fax (847) 318-9170

Phone(847) 318-8200

Fax(847) 318-9170

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 9, 2013

✔ NPI 1225375389 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 IL · 071008486

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.

1400 RENAISSANCE DR, Park Ridge, IL 60068

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Bruce Campbell Psy.d., M.div. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638144959

PECOS Enrollment IDI20130222000042

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 Robert Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willow Wellness Center, PLLC

0.5 mi

Adult Mental Health

2604 DEMPSTER ST STE 401
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1154437739 (847) 318-8200

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 60068 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 11

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

DR. YULEUNG ERIC TO PSY.D.

Psychologist (Clinical)

1400 RENAISSANCE DR, SUITE 104
PARK RIDGE, IL 60068

Cook County (224) 625-0280

MR. EMIL KIRILOV SLAVKOV LMT, L.AC

Acupuncturist

1400 RENAISSANCE DR, SUITE 102
PARK RIDGE, IL 60068

Cook County (847) 962-9199

HEALING HANDS PHYSICIANS, INC.

Home Health

1400 RENAISSANCE DR, SUITE 216
PARK RIDGE, IL 60068

Cook County (224) 938-9264

MS. TONI A GIOVANNINI MSW

Social Worker

1400 RENAISSANCE DR, SUITE 101
PARK RIDGE, IL 60068

Cook County (847) 899-8284

MS. JENNIFER EILEEN MIESZALA LCSW, CADC

Social Worker (Clinical)

1400 RENAISSANCE DR, #101
PARK RIDGE, IL 60068

Cook County (847) 963-9639

DR. CLAUDE WINCHESTER HAMILTON M.D.

Internal Medicine

1400 RENAISSANCE DR, SUITE 216
PARK RIDGE, IL 60068

Cook County (224) 938-9264

JENNIFER HAUGHEY LCPC

Counselor (Professional)

1400 RENAISSANCE DR, SUITE 400
PARK RIDGE, IL 60068

Cook County (847) 318-8200

ROZA KOSTADINOVA AZMANOVA L.AC.

Acupuncturist

1400 RENAISSANCE DR, SUITE 102
PARK RIDGE, IL 60068

Cook County (224) 381-6319

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 Robert Campbell's NPI number?

The NPI number for Robert Campbell is 1225375389. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Robert Campbell located?

Robert Campbell practices at 1400 Renaissance Dr Suite 401, Park Ridge, IL 60068. The listed phone number is (847) 318-8200.

What is Robert Campbell's specialty?

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

Is Robert Campbell enrolled in Medicare?

Yes. Robert Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Robert Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Campbell reassigns Medicare benefits to Willow Wellness Center, PLLC (Park Ridge, IL). 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 Robert 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 Robert Campbell was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.