Individual provider Active NPI

Evelyn Enid Camacho

  • School Psychologist
  • Caguas, PR
National Provider Identifier
1912711680
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
8116 Issued in PR
Practice address
60 Calle Aibonito Local #2
Urb. Bonneville Heights
Caguas, PR 00725
Phone
(939) 395-0188
NPI assigned
Feb 4, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 8116 PR Primary

Addresses

Primary practice location

60 Calle Aibonito Local #2
Urb. Bonneville Heights
Caguas, PR 00725

Mailing address

Calle 6 K-35 Urb. Bonneville Gardens
Caguas, PR 00725-5841
Phone (787) 586-3846

Other practice location 1

Calle 6 K-35
Urb. Bonneville Gardens
Caguas, PR 00725
Phone (787) 586-3846

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

State licenses

LicenseStateTypeSpecialty
8116PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Psychology Center CurrentSince Feb 9, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1912711680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 6 K-35 URB. BONNEVILLE GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255841",
            "telephone_number": "787-586-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE AIBONITO LOCAL #2",
            "address_2": "URB. BONNEVILLE HEIGHTS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-395-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE 6 K-35",
            "address_2": "URB. BONNEVILLE GARDENS",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-586-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "EVELYN",
        "middle_name": "ENID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "8116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.