DR. SUSAN LEE CAMPBELL (NPI# 1417048513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417048513 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LEE CAMPBELL |
| Other Name | MRS. SUSAN CAMPBELL DUNCAN |
| Credential | MD |
| Practice Address |
124 Mallard St Greenville SC 29601-4046 |
| Practice Telephone | 8642411040 |
| Practice Fax Number | 8642411049 |
| Mailing Telephone | 8642411040 |
| Mailing Fax Number | 8642411049 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
13449 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 301100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356596605 | Susan Adams Campbell | Occupational Therapist | 205 Albemarle Rd, Brooklyn, NY 11218-2307 | 2008-11-28 |
| 1669660577 | Susan Elizabeth Campbell | Licensed Practical Nurse | 93 Lyndale Dr, Painesville, OH 44077-4939 | 2007-10-05 |
| 1568688281 | Susan A. Campbell | Acupuncturist | 3038 Fawnwood Dr, Ellicott City, MD 21042-2322 | 2007-04-18 |
| 1740308329 | Susan Louise Campbell | Dietitian, Registered | 6900 Ulmerton Rd, #51, Largo, FL 33771-4948 | 2007-03-26 |
| 1417061789 | Susan S. Campbell | Counselor | 965 S 100 W Ste 203, Logan, UT 84321-6071 | 2006-08-17 |
| 1134136625 | Susan B. Campbell | Pediatrics | 2201 Murphy Ave Suite 207, Nashville, TN 37203-1538 | 2006-08-01 |
| 1063413029 | Susan L Campbell | Advanced Practice Midwife | 2131 East State St., Athens, OH 45701 | 2005-08-02 |
| 1669005815 | Susan Marie Campbell | Occupational Therapist | 3452 Lake Lynda Dr Ste 200, Orlando, FL 32817-1481 | 2020-02-17 |
| 1891337952 | Susan Campbell | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2019-10-10 |
| 1972950939 | Susan Campbell | Nurse Practitioner | 1376 Highway 36, Hazlet, NJ 07730-1716 | 2016-05-19 |
| Street Address |
124 MALLARD ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071945 | Michael A Manley | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2005-11-22 |
| 1598366445 | Domonique Holbert | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-11-06 |
| 1003417536 | Nytear Mcclain | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-11-02 |
| 1053911172 | Whitney Sanders | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-10-28 |
| 1790392827 | Kelsey Green | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-09-23 |
| 1497366140 | Holden Lecroy | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-08-14 |
| 1942811781 | Jimmy Sercey Jr. | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-08-14 |
| 1063020105 | Marques Petty | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-07-15 |
| 1174159677 | Laura Deaton | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-03-16 |
| 1689207482 | Margaret Cross | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
| 1255462917 | Gloria Rodarte Brun, M. D., P. A. | Psychiatry & Neurology | 5604 Wesley St, Ste. 101, Greenville, TX 75402-6326 | 2007-03-07 |
| 1710042304 | Nancy Louise Vogel | Psychiatry & Neurology | 925 Conference Dr, Greenville, NC 27858-5971 | 2006-12-26 |
| 1699876300 | Kim Aurora Reynolds | Psychiatry & Neurology | 2305 Executive Cir, 102, Greenville, NC 27834-3749 | 2006-09-26 |
| 1396738977 | Susan Kaye Lucas Mcginty | Psychiatry & Neurology | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2005-08-29 |
| 1336588227 | Arun Handa | Psychiatry & Neurology | 701 Grove Rd, Greenville, SC 29605 | 2013-06-24 |
| 1225377328 | Fernando M. Siles, Md, Pllc | Psychiatry & Neurology | 2405 Stonewall St, Greenville, TX 75401-3349 | 2013-02-08 |
| 1235402884 | Integrated Family Services, Pllc | Psychiatry & Neurology | 105 E Victoria Ct, Suite A, Greenville, NC 27858-5755 | 2012-02-13 |
| 1255622726 | Kathy Schutz Lcsw PC | Psychiatry & Neurology | 702 Cromwell Dr, Suite G, Greenville, NC 27858-5436 | 2011-05-02 |
| 1336439637 | Brittany Page Rodgers | Psychiatry & Neurology | 27 Memorial Medical Dr, Greenville, SC 29605-4407 | 2011-04-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.