Active NPI
Julie Ann Moll Camacho, M.S
- Counseling Psychologist
- Arecibo, PR
National Provider Identifier
1447714928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6243
- Practice address
- 208 Calle M Perez Freytes
Arecibo, PR 00612-4646 - Phone
- (787) 904-6949
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 6243 | PR | |
| Counseling Psychologist | 103TC1900X | 6243 | PR | Primary |
Addresses
Primary practice location
208 Calle M Perez Freytes
Arecibo, PR 00612-4646
Mailing address
Parcelas El Mani Calle Juan Rodriguez #364
Apartamento #2
Mayaguez, PR 00680
Phone (787) 904-6949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6243 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1447714928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARCELAS EL MANI CALLE JUAN RODRIGUEZ #364",
"address_2": "APARTAMENTO #2",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-904-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CALLE M PEREZ FREYTES",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124646",
"telephone_number": "787-904-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "JULIE ANN",
"middle_name": "MOLL",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "PR",
"license": "6243",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.