Active NPI
Yury Camarena Munguia, PH.D.
- Psychologist
- El Paso, TX
National Provider Identifier
1679452049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 40853
- Practice address
- 2629 E Yandell Dr Ste a
El Paso, TX 79903-3724 - Phone
- (915) 233-7145
- NPI assigned
- Aug 29, 2025
- Last updated
- Aug 29, 2025
- 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 | 40853 | TX | Primary |
Addresses
Primary practice location
2629 E Yandell Dr Ste a
El Paso, TX 79903-3724
Mailing address
14305 Early Morn Ave
El Paso, TX 79938-5125
Phone (682) 521-9988
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40853 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Life Psychology PLLC | Current | Accepting new patients |
Locations
2629 E Yandell Dr
Ste A
El Paso, TX 79903
Phone (915) 233-7145
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- El Paso, TX
- NPI 1669068284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1679452049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14305 EARLY MORN AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799385125",
"telephone_number": "682-521-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 E YANDELL DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033724",
"telephone_number": "915-233-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGUIA",
"first_name": "YURY",
"middle_name": "CAMARENA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "40853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.