Active NPI
Camille Ann Hernandez, PSYD
- Psychologist
- Florence, AZ
National Provider Identifier
1487820171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3939
- Practice address
- 65 East Ruggles Rd
Florence, AZ 85232-2951 - Phone
- (480) 310-8555
- Fax
- (480) 706-9449
- NPI assigned
- May 2, 2008
- Last updated
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3939 | AZ | Primary |
Addresses
Primary practice location
65 East Ruggles Rd
Florence, AZ 85232-2951
Mailing address
PO Box 2951
Florence, AZ 85232-2951
Phone (480) 208-3375
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3939 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}Other providers in Florence, AZ
Sources for this page
- 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.