JEFFREY CAMPODONICO PH.D.
NPI 1407908395
Clinical Neuropsychologist in Towson, MD

Q: What is Jeffrey Campodonico's NPI number?

The NPI number for Jeffrey Campodonico is 1407908395. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Jeffrey Campodonico's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

120 SISTER PIERRE DR, SUITE 501, TOWSON, MD 21204(410) 337-6801(410) 337-8686 Get Directions Write a Review

NPPES record last updated: January 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jeffrey Campodonico Ph.d. NPPES

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

JEFFREY CAMPODONICO PH.D. (NPI 1407908395) is an individual clinical neuropsychologist in Towson, Maryland, licensed in Maryland (3071) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1407908395

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameJEFFREY CAMPODONICOCredential: PH.D.

Location Address120 SISTER PIERRE DR, SUITE 501Towson, MD 21204-7516

Mailing Address120 Sister Pierre Dr, Suite 501Towson, MD 21204-7516 · (410) 598-4966 · Fax (410) 337-8686

Phone(410) 337-6801

Fax(410) 337-8686

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJanuary 24, 2009

✔ NPI 1407908395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MD · 3071

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

120 SISTER PIERRE DR, Towson, MD 21204

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Other Identifiers 4

Medicare PIN706M246FMD

OtherKEJ2JEMD · Bcbs Preferred Provider

Medicaid403513500MD

Other706MMD · Medicare Group Id No.

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

Jeffrey Campodonico 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 ID9234025495

PECOS Enrollment IDI20111229000489

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 20

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

PSYCH ASSOCIATES CARE, LLC

Psychologist (Counseling)

120 SISTER PIERRE DR, SUITE 407
TOWSON, MD 21204

Baltimore County (443) 279-2000

MRS. SUSAN KATHLEEN POWER LCSW-C

Social Worker (Clinical)

120 SISTER PIERRE DR, SUITE 407
TOWSON, MD 21204

Baltimore County (443) 279-2000

MICHAEL O. MAGAN MD PA

Obstetrics & Gynecology (Gynecology)

120 SISTER PIERRE DR, SUITE 303
TOWSON, MD 21204

Baltimore County (410) 337-9003

WILLIAM CAREY WIMMER M.D.

Psychiatry & Neurology (Psychiatry)

120 SISTER PIERRE DR, 307
TOWSON, MD 21204

Baltimore County (410) 821-7155

JAMES R. KLIMA

Social Worker (Clinical)

120 SISTER PIERRE DR, SUITE 407
TOWSON, MD 21204

Baltimore County (443) 279-2000

JACOB TENDLER, M.D., P.A.

Psychiatry & Neurology (Pain Medicine)

120 SISTER PIERRE DR, SUITE 501
TOWSON, MD 21204

Baltimore County (410) 337-6800

DR. LOIS E NIELSEN MD

Internal Medicine

120 SISTER PIERRE DR, SUITE # 206
TOWSON, MD 21204

Baltimore County (410) 296-3650

ARTHUR MACNEILL HORTON EDD MED DPD

Clinical Neuropsychologist

120 SISTER PIERRE DR, 403
TOWSON, MD 21204

Baltimore County (410) 823-6408

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 Jeffrey Campodonico's NPI number?

The NPI number for Jeffrey Campodonico is 1407908395. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Jeffrey Campodonico located?

Jeffrey Campodonico practices at 120 Sister Pierre Dr Suite 501, Towson, MD 21204. The listed phone number is (410) 337-6801.

What is Jeffrey Campodonico's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeffrey Campodonico enrolled in Medicare?

Yes. Jeffrey Campodonico 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Campodonico was last updated on January 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.