Camille Ann Hernandez, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3939 Issued in AZ

Practice address

65 East Ruggles Rd
Florence, AZ 85232-2951

Phone

(480) 310-8555

Fax

(480) 706-9449

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2013.

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1487820171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2951",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852322951",
            "telephone_number": "480-208-3375",
            "fax_number": "480-706-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 EAST RUGGLES RD",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852322951",
            "telephone_number": "480-310-8555",
            "fax_number": "480-706-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CAMILLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aedan Alexander Hanley, M.A., M.S., LLPC
• Kel-Lee Star Harling, DDS
• Talma Beal Harmon, MAED
• Chad Ellis Harrison, PHARMD
• Heals on Wheels
• Jessica Hewitt
• Jacob Holland
• Lee Holliday, FNP
• Ashlyn Rebekah Holmes
• Honorhealth

• All providers in Florence, AZ
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.