DR. LOWELL MASON CAMPBELL III


Address: 287 Marschall Rd Ste 203, Shakopee, MN 55379-1678
Phone: 9524451397

DR. LOWELL MASON CAMPBELL III (NPI# 1659393684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659393684
Entity Type Individual
Full Name DR. LOWELL MASON CAMPBELL III
Other Name DR. LOWELL MASON CAMPBELL III
Credential PSYD, LP
Practice Address 287 Marschall Rd Ste 203
Shakopee
MN 55379-1678
Mailing Address 287 Marschall Rd Ste 203
Po Box 336
Shakopee
MN 55379-1678
Practice Telephone 9524451397
Practice Fax Number 9524451398
Mailing Telephone 9524451397
Mailing Fax Number 9524451398
Enumeration Date 2006-07-25
Last Update Date 2007-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP2631 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BCBS GROUP ID 51217CA 01
MN PREFERRED ONE 01010981 01
MN BCBS ID 51053CA 01
MN MEDICA ID 61-20043 01
MN HEALTHPARTNERS HP19455 01
MN IND NPI# 1346259041 01

Office Location

Street Address 287 MARSCHALL RD STE 203
City SHAKOPEE
State MN
Zip Code 55379-1678

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700355377 Erin L Martin Psychologist Government Center 300, 200 Fourth Ave W, Shakopee, MN 55379-1220 2018-11-13
1134530199 Sally Phillips Psychologist 327 Marschall Rd, Suite 250, Shakopee, MN 55379-1687 2014-05-13
1255584975 Amy Louise Deloyski Psychologist 1412 6th Ave W, Shakopee, MN 55379-2003 2008-10-25
1558414136 Sally Irene Beck Psychologist 2081 Brookhaven Dr, Shakopee, MN 55379-8202 2007-01-19
1720174816 Diane Marie Foy Kuntz Psychologist 100 South Fuller Street, Suite 140, Shakopee, MN 55379 2006-10-05
1194232264 Lakes Psychological Practice, LLC Psychologist 100 Fuller St S, Shakopee, MN 55379-1348 2018-01-10
1902271521 Alicia Marie Swalley Psychologist 327 Marschall Rd, Suite 250, Shakopee, MN 55379-1687 2015-12-08
1215345244 Keith Wayne Fridel Psychologist 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2014-07-22
1790199099 Tawnya Ward Psychologist 200 4th Ave W Ste 300, Shakopee, MN 55379-1220 2014-06-13
1720219819 Christopher Michael Fischer Psychologist 100 Fuller St S, Shakopee, MN 55379-1348 2009-08-06
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Competitor

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City SHAKOPEE
Zip Code 55379

Improve Information

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Dataset Information

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.

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