Active NPI
Brenda Y Camacho, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA05891300
- Practice address
- 109 W 27TH St RM 5S
New York, NY 10001-6208 - Phone
- (917) 634-5311
- Fax
- (888) 815-3583
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Hampton, NJ
- NPI 1023729530
NJ, Psychiatry
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
CT, NY, PA, Psychiatry
-
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
CT, DE, PA, Psychiatry, VT
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MCCD New Jersey Psychiatry Services LLC
Practice addresses (Care Compare)
53 Frontage Rd
Hampton, NJ 08827-4031
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, PA, CT, DE, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130911000195 | NJ | Practitioner - Psychiatry | 9638313737 | Reassigns benefits to 2 organizations |
| I20220118002177 | NY | Practitioner - Psychiatry | 9638313737 | Reassigns benefits to 1 organization |
| I20220516000936 | PA | Practitioner - Psychiatry | 9638313737 | Reassigns benefits to 2 organizations |
| I20220518000407 | CT | Practitioner - Psychiatry | 9638313737 | Reassigns benefits to 2 organizations |
| I20231214000921 | DE | Practitioner - Psychiatry | 9638313737 | Reassigns benefits to 1 organization |
| I20240614000672 | VT | Practitioner - Psychiatry | 9638313737 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0026395 | DE | MD | Psychiatry Physician |
| 25MA05891300 | NJ | MD | Psychiatry Physician |
| 314572 | NY | MD | Psychiatry Physician |
| MD045733L | PA | MD | Psychiatry Physician |
| 42.0017766 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| MCCD New Jersey Psychiatry Services LLC | Psychiatry | Current | Accepting new patients |
| Acenda, Inc. | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006
53 Frontage Rd
Fl 1
Hampton, NJ 08827
Phone (908) 386-2572
525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444
404 Tatum St
Woodbury, NJ 08096
Phone (856) 845-8050
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
109 W 27th St
#55
New York, NY 10001
1900 Market St
Ofc 6167
Philadelphia, PA 19103
2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906
194 Main St
Ste 229
Newport, VT 05855
Phone (833) 315-8255
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 70110 | CT | |
| Psychiatry Physician | 2084P0800X | C1-0026395 | DE | |
| Psychiatry Physician | 2084P0800X | MD045733L | PA | |
| Psychiatry Physician | 2084P0800X | 314572 | NY | |
| Psychiatry Physician | 2084P0800X | 25MA05891300 | NJ | Primary |
| Psychiatry Physician | 2084P0800X | 42.0017766 | VT |
Addresses
NPPES NPI RegistryPrimary practice location
109 W 27TH St RM 5S
New York, NY 10001-6208
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255
Other practice location 1
777 W Putnam Ave Ste 300
Greenwich, CT 06830-5000
Phone (917) 634-5311
Other practice location 2
680 American Ave Ste 301
King Of Prussia, PA 19406-4023
Phone (833) 351-8255
Other practice location 3
1521 Concord Pike Ste 301
Wilmington, DE 19803-3644
Phone (917) 634-5311
Other practice location 4
194 Main St Ste 229
Newport, VT 05855-6104
Phone (917) 634-5311
Other practice location 5
53 Frontage Rd
1st Floor, Office 114
Hampton, NJ 08827-4031
Phone (833) 351-8255
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620100 | Medicaid | NJ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2025.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1821175134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311",
"fax_number": "888-815-3583"
}
],
"practiceLocations": [
{
"address_1": "777 W Putnam Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068305000",
"country_code": "US",
"telephone_number": "917-634-5311",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 American Ave Ste 301",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194064023",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1521 Concord Pike Ste 301",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033644",
"country_code": "US",
"telephone_number": "917-634-5311",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "194 Main St Ste 229",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "VT",
"postal_code": "058556104",
"country_code": "US",
"telephone_number": "917-634-5311",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "53 Frontage Rd",
"address_2": "1st Floor, Office 114",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "NJ",
"postal_code": "088274031",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "BRENDA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "70110",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0026395",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD045733L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "314572",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05891300",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "42.0017766",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.