CMS-1500 Box 24J / 33a • NPI
1306327689
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
1060 W BEAVER CREEK BLVD, SUITE 201, AVON, CO, 81620
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1306327689 (NINA E CAMPANILE, PsyD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1306327689 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NINA E CAMPANILE, PsyD |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: 103T00000X (Psychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1060 W BEAVER CREEK BLVD, SUITE 201, AVON, CO, 81620 |
| Practice Telephone / Fax | Tel: (970) 414-2571 |
| Administrative Mailing Address | PO BOX 1812, EAGLE, CO, 81631-1812 |
| Enumeration & Last Sync | Enumerated: 2018-08-24 | CMS Record Updated: 2026-10-16 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103T00000X)
What Does Taxonomy Code 103T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NINA E CAMPANILE, PsyD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: CO | License: 0006062 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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