Nydia Yaritza Camacho Ortiz, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37749 Issued in TX

Practice address

9500 Ray White Rd Ste 200
Fort Worth, TX 76244-9105

Phone

(787) 364-3898

Fax

(833) 694-0829

NPI assigned

Mar 4, 2008

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Austin Bilingual Therapy, PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1114695772
  Medicare reassignment NPD
• The Institute of Neuropsychological Healthcare, PLLC

  • Clinical Neuropsychologist
  • Fort Worth, TX
  • NPI 1891308730
  Medicare reassignment NPD
• Correctional Rehabilitation Services

  • Psychologist
  • Austin, TX
  • NPI 1407000508
  NPD (past)
• Psicologia Psychology PLLC

  • Psychologist
  • Austin, TX
  • NPI 1528618774
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1265602445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 GUNNISON TURN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787380009",
            "telephone_number": "787-364-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "787-364-3898",
            "fax_number": "833-694-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Calle Tiber",
            "address_2": "Urb. El Paraiso",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009262950",
            "country_code": "US",
            "telephone_number": "787-771-4691",
            "fax_number": "787-771-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 Gunnison Turn Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787380009",
            "country_code": "US",
            "telephone_number": "787-364-3898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO ORTIZ",
        "first_name": "NYDIA",
        "middle_name": "YARITZA",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2946",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "address_1": "5701 Gunnison Turn Rd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787380009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meredith Calvert
• Alexis Calvillo, FNP-C
• Calvin Eastwood DDS PLLC
• Monica Monique Calvin-Whitfield, CNA
• Cam Cam Ventures II, LLC
• Bianca Aalyna Camacho
• Jesus Alfredo Camacho Jr.
• Carmen Camarena
• Lauren Ashley Cambias, RDN, LDN
• Dawn E. Cambric, RN

• Clinical Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.