DR. RAYMOND MCKINLEY CAMPBELL III (NPI# 1841340312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841340312 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND MCKINLEY CAMPBELL III |
| Other Name | PROF. RAYMOND M. CAMPBELL |
| Credential | PHD |
| Practice Address |
1511 1st St Suite 1308 Detroit MI 48226-1351 |
| Practice Telephone | 3139644779 |
| Practice Fax Number | 3139644779 |
| Mailing Telephone | 3139644779 |
| Mailing Fax Number | 3139644779 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
6301001430 | MI | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301001403 | MI | Behavioral Health & Social Service Providers |
| X | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
6301001403 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750628087 | Raymond M Campbell Sr. | Licensed Practical Nurse | 667 S Firestone Blvd, Akron, OH 44301-3123 | 2013-01-07 |
| 1962650689 | Raymond Campbell Iv | Dietitian, Registered | 525 Turtle Creek Dr, Greenville, TX 75402-4330 | 2008-09-06 |
| 1548861206 | Raymond Glen Campbell | Pharmacist | 32 Tygart Mall Loop, Fairmont, WV 26554-2187 | 2020-11-07 |
| 1063052025 | Raymond Marshall Campbell | Registered Nurse | 1400 Locust St, Pittsburgh, PA 15219-5114 | 2020-01-07 |
| 1770715971 | Raymond G Campbell | Specialist | 12371 Highway 90, Suite D, Luling, LA 70070-2371 | 2009-08-20 |
| Street Address |
1511 1ST ST SUITE 1308 |
| City | DETROIT |
| State | MI |
| Zip Code | 48226-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065314 | Henr Y Ford Health System | Pharmacy | 1777 3rd. Ave, Detroit, MI 48226 | 2019-10-21 |
| 1912413386 | Vitalizing Care Consultants LLC | Home Health Aide | 1420 Washington Blvd Ste 301, Detroit, MI 48226 | 2017-12-21 |
| 1639699945 | Runners Transportation LLC | Non-emergency Medical Transport (VAN) | 111 Cadilac, Apt 16j, Detroit, MI 48226 | 2017-06-27 |
| 1174056857 | Nariman Nassiri | Student in an Organized Health Care Education/Training Program | 200 Riverfront Dr., Apt 11g, Detroit, MI 48226 | 2017-04-10 |
| 1982143384 | Strategic Operation Solutions | Case Management | 407 E. Fort St., Suite 407, Detroit, MI 48226 | 2017-02-17 |
| 1700329315 | Jacob Chaffee | Pharmacist | 600 E. Lafayette Blvd, Mail Code 512c, Detroit, MI 48226 | 2016-11-30 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
| 1689006488 | The Literacy Center | Non-emergency Medical Transport (VAN) | 645 Griswold Street, Suite 1300, Detroit, MI 48226 | 2013-08-02 |
| 1972834422 | Lydia J Commissaris | Nurse Practitioner | 45 W. Grand River Ave, Detroit, MI 48226 | 2010-01-22 |
| Find all providers in zip 48226 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588828453 | Jin Lee Kim | Clinical Neuropsychologist | 1 Ford Pl Ste 1e, Detroit, MI 48202-3450 | 2008-07-10 |
| 1104939107 | Jannel M Phillips | Clinical Neuropsychologist | 1 Ford Place, Detroit, MI 48202 | 2006-08-16 |
| 1952330474 | Univeristy Affiliated Neurologists | Clinical Neuropsychologist | 4201 St. Antoine St, Suite 8d, Detroit, MI 48201 | 2006-06-30 |
| 1457390254 | University Physician Group | Clinical Neuropsychologist | 4201 Saint Antoine St., Suite 8d, Detroit, MI 48201 | 2006-06-06 |
| 1225038904 | Scott Richard Millis | Clinical Neuropsychologist | 261 Mack Ave, Rehabilitation Institute of Michigan, Rm 552, Detroit, MI 48201-2417 | 2005-07-26 |
| 1285116384 | Allison Josephine Lake | Clinical Neuropsychologist | 261 Mack Ave Ste 555, Detroit, MI 48201-2417 | 2018-09-05 |
| 1487193207 | Vilija Petrauskas | Clinical Neuropsychologist | 1 Ford Pl Ste 1e, Detroit, MI 48202-3450 | 2017-02-13 |
| 1053659482 | Brent Funk | Clinical Neuropsychologist | 1 Ford Pl, 1e, Detroit, MI 48202-3450 | 2013-01-18 |
| 1215295191 | Kathleen Margaret Hagelthorn | Clinical Neuropsychologist | 1 Ford Pl Ste 2e, Detroit, MI 48202-3450 | 2012-04-27 |
| 1063741270 | Adult Neuropsychology | Clinical Neuropsychologist | 4201 Saint Antoine St, 4j Uhc, Detroit, MI 48201-2153 | 2009-12-17 |
| Find all providers in DETROIT | ||||
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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.