Individual provider Active NPI

Sydney Alexandra Camargo, PSY.D.

  • Clinical Psychologist
  • Asheville, NC
National Provider Identifier
1053143958
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6606 Issued in NC
Practice address
77 Central Ave Ste D
Asheville, NC 28801-4256
Phone
(828) 333-9320
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6606 NC Primary

Addresses

Primary practice location

77 Central Ave Ste D
Asheville, NC 28801-4256

Mailing address

77 Central Ave Ste D
Asheville, NC 28801-4256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004001637 NC Practitioner - Clinical Psychologist 2769913417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cotswold Clinician Support ServicesGroup PAC ID 3971884511, 18 clinicians

Practice addresses (Care Compare)

447 S Sharon Amity Rd
Suite 250
Charlotte, NC 28211-2850
Phone (704) 503-8196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cotswold Clinician Support Services CurrentSince Aug 26, 2024 Accepting new patients
Apogee Behavioral Medicine PC CurrentSince Aug 25, 2024 Accepting new patients

Locations

77 Central Ave
Ste D
Asheville, NC 28801
Phone (828) 331-1993

1550 Hendersonville Rd
Ste 202
Asheville, NC 28803
Phone (828) 333-9320

447 S Sharon Amity Rd
Ste 250
Charlotte, NC 28211
Phone (704) 264-2973

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1053143958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014256",
            "telephone_number": "828-333-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "SYDNEY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.