Individual provider Active NPI

Brenda Y Camacho, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1821175134
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA05891300 Issued in NJ
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.

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 54 clinicians

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, VT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
C1-0026395DEMDPsychiatry Physician
25MA05891300NJMDPsychiatry Physician
314572NYMDPsychiatry Physician
MD045733LPAMDPsychiatry Physician
42.0017766VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
MCCD New Jersey Psychiatry Services LLC Psychiatry CurrentSince Jul 19, 2023 Accepting new patients
Acenda, Inc. CurrentSince Dec 25, 2019 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 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)CodeLicenseStatePrimary
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 Registry

Primary 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
IdentifierTypeStateIssuer
620100MedicaidNJ

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

Verify at the official NPI Registry.