DR. TADD LEON CAMPBELL (PH.D.) – Psychologist, NPI 1093032690

DR. TADD LEON CAMPBELL (PH.D.) is a healthcare provider. based in Jersey city, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 35SI00465400 (NJ). The NPI Number for DR. TADD LEON CAMPBELL (PH.D.) is 1093032690

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. TADD LEON CAMPBELL (PH.D.)
NPI
1093032690
Phone
(800) 257-8715
Address
2954 Kennedy Blvd Ste 2
Enumeration Date
23 April 2010
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732640023
Graduation Year
1999 (27 years ago)
PAC ID
4183811524
Group Practice PAC ID
0547335366
Professional Enrollment ID
I20101210000057
Address ID
NJ070552437PA85XXXAVEX300
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Digital endpointsOther names

963 CLINICAL PSYCHOLOGIST in NJ

Provider Addresses for DR. TADD LEON CAMPBELL (PH.D.)

  • 2954 Kennedy Blvd Ste 2

    Rossi Psychological Group

    Jersey City, NJ 073063897

    Phone: (800) 257-8715

    Type: Location

  • 19409 PLANTATION RD UNIT 4

    REHOBOTH BEACH, DE 199714493

    Phone: (302) 224-1400

    Fax: (302) 224-1402

    Type: Mailing

  • 2954 KENNEDY BLVD STE 2

    ROSSI PSYCHOLOGICAL GROUP

    JERSEY CITY, NJ 073063897

    Phone: (800) 257-8715

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101210000057IClinical PsychologistNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation657652$0
90832Psychotherapy, 30 minutes501254$0
90834Psychotherapy, 45 minutes224125$0
90847Family psychotherapy with patient, 50 minutes6245$0
90837Psychotherapy, 1 hour2619$0
View full utilization report →

Insurance plans in this area (ZIP 07306)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547335366View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TADD LEON CAMPBELL (PH.D.)?
NPI 1093032690 is assigned to DR. TADD LEON CAMPBELL (PH.D.) under the national enumeration system.
Is DR. TADD LEON CAMPBELL (PH.D.)'s NPI currently valid?
The extract we use shows DR. TADD LEON CAMPBELL (PH.D.) as active.
What kind of provider is DR. TADD LEON CAMPBELL (PH.D.)?
The page reflects Psychologist for DR. TADD LEON CAMPBELL (PH.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. TADD LEON CAMPBELL (PH.D.)?
We surface Jersey City, New Jersey for DR. TADD LEON CAMPBELL (PH.D.) based on available NPPES addresses.
What if Jersey City, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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