DR. AMANDA L CAMPBELL PH.D.
NPI 1760095038
Psychologist - Clinical in Glen Allen, VA

Q: What is Amanda Campbell's NPI number?

The NPI number for Amanda Campbell is 1760095038. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Amanda Campbell's specialty?

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

Q: Is Amanda Campbell enrolled in Medicare?

No. Amanda Campbell has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Campbell was last updated on August 26, 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.

Active since August 26, 2020Opted out of Medicare · through Jun 1, 2028

4337 COX RD, GLEN ALLEN, VA 23060(804) 277-9877 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Amanda L Campbell Ph.d. NPPES

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

DR. AMANDA L CAMPBELL PH.D. (NPI 1760095038) is an individual clinical provider in Glen Allen, Virginia, licensed in Virginia (0810007199) and active in the NPI registry since August 2020. She has opted out of Medicare through June 1, 2028.

NPPES Registry Identity

NPI1760095038

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMANDA L CAMPBELLCredential: PH.D.

Location Address4337 COX RDGlen Allen, VA 23060-3359

Mailing Address4337 Cox RdGlen Allen, VA 23060-3359 · (804) 277-9877

Phone(804) 277-9877

Sole ProprietorNo

Enumeration DateAugust 26, 2020

NPPES CertifiedAugust 26, 2020

✔ NPI 1760095038 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 · 0810007199

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.

4337 COX RD, Glen Allen, VA 23060

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Amanda L Campbell Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026

Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

RACHEL BOYKIN LPC

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