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DR. SHUSHAN CAMPBELL PH.D., LCP
NPI 1265849822
Psychologist - Clinical in Fairfax, VA

Active since July 16, 2014
10521 ROSEHAVEN ST STE 100, FAIRFAX, VA 22030(703) 352-3822 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shushan Campbell Ph.d., Lcp NPPES

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

DR. SHUSHAN CAMPBELL PH.D., LCP (NPI 1265849822) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810006451) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1265849822
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHUSHAN CAMPBELLCredential: PH.D., LCP
Location Address10521 ROSEHAVEN ST STE 100Fairfax, VA 22030-2877
Mailing Address10521 Rosehaven St, Suite 100Fairfax, VA 22030-2876 · (703) 352-3822
Phone(703) 352-3822
Sole ProprietorYes
Enumeration DateJuly 16, 2014
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1265849822 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 VA · 0810006451
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.
10521 ROSEHAVEN ST STE 100, Fairfax, VA 22030
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Other Identifiers 1

Other1265849822VA · Sole Proprietor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MS. MIKHEL WIRTANEN L.S.S.W
Social Worker (Clinical)
10521 ROSEHAVEN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 352-3822
EMILY WILSON
Social Worker
10521 ROSEHAVEN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 650-0636
ASHRAF SEFAIN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10521 ROSEHAVEN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 650-0636
MS. JACQUELYN MARIE CUSTER BSW
Social Worker
10521 ROSEHAVEN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 352-3822

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 Shushan Campbell's NPI number?

The NPI number for Shushan Campbell is 1265849822. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Shushan Campbell located?

Shushan Campbell practices at 10521 Rosehaven St Ste 100, Fairfax, VA 22030. The listed phone number is (703) 352-3822.

What is Shushan 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 Shushan Campbell was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.