NPI Details
DR. Michael Cory Campbell, MD is a psychiatry psychiatry neurology in Honesdale, PA with 20 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Michael Cory Campbell, MD NPI is 1669684460. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2005
The provider's business location address is:
600 MAPLE AVE
HONESDALE, PA
ZIP 18431-459
Phone: (570) 253-8219
Fax: (570) 253-8242
The NPI 1669684460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/4/2007 and was last updated on 12/28/2016.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | MD434864 | PENNSYLVANIA | No |
| 2 | 207Q00000X | Family Medicine | | 22599 | WEST VIRGINIA | No |
| 3 | 2084P0800X | Psychiatry & Neurology | Psychiatry | MD434864 | PENNSYLVANIA | Yes |
| 4 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 22599 | WEST VIRGINIA | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 102403507 | MEDICAID | PENNSYLVANIA | |
| 2 | 183587JJM | MEDICARE OSCAR/CERTIFICATION | PENNSYLVANIA | |
