JACQUELINE CAMP PH.D.
NPI 1336415637
Psychologist in Raleigh, NC

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
5868 FARINGDON PL STE 16A, RALEIGH, NC 27609(919) 424-1973 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacqueline Camp Ph.d. NPPES

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

JACQUELINE CAMP PH.D. (NPI 1336415637) is an individual psychologist in Raleigh, North Carolina, licensed in North Carolina (5082) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Muncie, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336415637
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE CAMPCredential: PH.D.
Location Address5868 FARINGDON PL STE 16ARaleigh, NC 27609-3931
Mailing Address5868 Faringdon Pl Ste 16aRaleigh, NC 27609-3931 · (919) 424-1973
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 30, 2012
Last NPPES UpdateFebruary 5, 2021
NPPES CertifiedFebruary 5, 2021
✔ NPI 1336415637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in NC · 5082✔ Licensed in IN · 20042737A
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20042737A (IN)
5868 FARINGDON PL STE 16A, Raleigh, NC 27609

Other Names 1

Other Name (5)Jackie Camp M.a.

Secondary Practice Location 1

Location 11904 W. Royale Dr.Muncie, IN 47304-2664 · Phone (765) 284-0043 · Fax (765) 284-4112

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Camp Ph.d. 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 ID7012159361
PECOS Enrollment IDI20170117001248
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.

Other Providers at the Same Location NPPES

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

Psychologist
5868 FARINGDON PL STE 16A
RALEIGH, NC 27609

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 Jacqueline Camp's NPI number?

The NPI number for Jacqueline Camp is 1336415637. It was assigned to this individual provider in the NPPES registry on March 30, 2012. The provider is also known as Jackie Camp M.A..

Where is Jacqueline Camp located?

Jacqueline Camp practices at 5868 Faringdon Pl Ste 16A, Raleigh, NC 27609. The listed phone number is (919) 424-1973.

What is Jacqueline Camp's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacqueline Camp enrolled in Medicare?

Yes. Jacqueline Camp 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.

What insurance does Jacqueline Camp accept?

Health plans from Blue Cross and Blue Shield of NC list Jacqueline Camp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Camp was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.