DR. MATTHEW WARREN CAMPBELL (NPI# 1790706398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790706398 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WARREN CAMPBELL |
| Credential | PH.D. |
| Practice Address |
2005 Harris Dr Oxford MS 38655-4222 |
| Practice Telephone | 6625139936 |
| Practice Fax Number | 6625139937 |
| Mailing Telephone | 6625139936 |
| Mailing Fax Number | 6625139937 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
43-695 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08079804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588056246 | Matthew Campbell | Occupational Therapist | 5916 Yarmouth Dr, Dayton, OH 45459-1450 | 2015-03-04 |
| 1114369626 | Matthew Campbell | Specialist/Technologist | 1701 Freeman St, Fort Wayne, IN 46802-4713 | 2013-07-25 |
| 1346471158 | Matthew Reed Campbell | Dentist | 1841 Wellness Blvd., Monroe, NC 28110 | 2009-07-29 |
| 1841496270 | Matthew Gibson Campbell | Psychologist | 22 Lawrence Ave Ste 304, Smithtown, NY 11787-3619 | 2007-06-22 |
| 1316062243 | Matthew Stephen Campbell | Speech-Language Pathologist | Route 10 Three Mile Curve Road, Logan, WV 25601 | 2007-03-20 |
| 1801956917 | Matthew Jay Campbell | Chiropractor | 19009 33rd Ave W, 205, Lynnwood, WA 98036-4717 | 2006-12-11 |
| 1558431494 | Matthew Ryan Campbell | General Practice | Besf, Apo, AE 09348 | 2006-11-08 |
| 1881617900 | Matthew J. Campbell Jr. | Dentist | 103 Scripps Dr Ste 8, Sacramento, CA 95825-6316 | 2006-07-26 |
| 1043284367 | Matthew J Campbell | Family Medicine | 405 Momany Dr, Saint Joseph, MI 49085-2178 | 2006-02-14 |
| 1003423476 | Matthew Campbell | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-09-29 |
| Street Address |
2005 HARRIS DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114270238 | Leigh Ann Hinton Teague | Social Worker | 2005 Harris Dr, Oxford, MS 38655-4222 | 2012-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542592 | Christine King | Psychologist | 4200 Lake Knolls Dr, Oxford, MI 48371-5411 | 2020-09-13 |
| 1134491095 | Shari L. Wade | Psychologist | 5678 Forest Ridge Dr, Oxford, OH 45056-8793 | 2012-02-07 |
| 1033492913 | Danielle Maack | Psychologist | 101 Ricky D Britt Sr Blvd Ste 1b, Oxford, MS 38655-9111 | 2011-09-27 |
| 1912149824 | Carnigee Ala-benee' Truesdale | Psychologist | 1450 South Lapeer Rd, Oxford, MI 48371-6681 | 2009-03-24 |
| 1356591705 | Jeffry Scott Bethay | Psychologist | 34 Private Road 3151, Apartment 7, Oxford, MS 38655-7004 | 2008-09-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1548483449 | Karen Christoff | Psychologist | 805 Royal Oaks Dr, Oxford, MS 38655-9058 | 2007-04-10 |
| 1407916216 | Scott Allen Gustafson | Psychologist | 551 Hathorn Rd, Oxford, MS 38655-4213 | 2006-12-11 |
| 1578622460 | Penny S. Haws | Psychologist | 1002 Van Buren Ave, Oxford, MS 38655-3910 | 2006-12-06 |
| 1700944204 | Shannon Theobald Devoe | Psychologist | 12 Old Charlton Rd, Oxford, MA 01540-1407 | 2006-12-05 |
| Find all providers in OXFORD | ||||
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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.