Camelot Behavioral Health Clinic, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CAMELOT BEHAVIORAL HEALTH CLINIC, PLLC

Practice address

1900 Denver Ave
El Paso, TX 79902-3008

Phone

(915) 544-4000

Fax

(915) 219-9022

NPI assigned

Mar 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alfredo Molina Jr., DNP-PMHNP-BCNPI 1831316124

Title

Owner

Phone

(915) 274-4188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfredo Molina, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1831316124
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1720615586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MESA",
            "address_2": "SUITE A2, #201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021512",
            "telephone_number": "915-383-7354",
            "fax_number": "915-275-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DENVER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023008",
            "telephone_number": "915-544-4000",
            "fax_number": "915-219-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT BEHAVIORAL HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-274-4188",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DNP-PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Reyes Camarena, LCSW
• Cecilia Camargo
• Sandra Camarillo Chacon
• Michelle Camarillo, PHARMD
• Cambium Vitae Mental Health
• Tara Caminade, DO
• Camino Hospice Corporation
• Camino Real Pathology Services PLLC
• Mara Camp, RN
• Blanca Campa, LPC

• Psychiatry Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.