Active NPI
Yesenia Camacho, PSY.D
- Psychologist
- Astoria, NY
National Provider Identifier
1518299783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2525 14TH St
Apt 2F
Astoria, NY 11102-3720 - Phone
- (215) 817-0167
- NPI assigned
- Feb 12, 2010
- 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 | Primary |
Addresses
Primary practice location
2525 14TH St
Apt 2F
Astoria, NY 11102-3720
Mailing address
2525 14TH St
Apt 2F
Astoria, NY 11102-3720
Phone (215) 817-0167
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019525 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1518299783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 14TH ST",
"address_2": "APT 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023720",
"telephone_number": "215-817-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 14TH ST",
"address_2": "APT 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023720",
"telephone_number": "215-817-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "YESENIA",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.