Individual provider Active NPI

Richard Patrick De Camp, REGISTERED NURSE

  • Psychiatric/Mental Health Registered Nurse
  • Palm Springs, CA
National Provider Identifier
1922553593
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95058572 Issued in CA
Practice address
2500 N Palm Canyon Dr
A4
Palm Springs, CA 92262-1868
Phone
(442) 268-7000
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95058572 CA Primary

Addresses

Primary practice location

2500 N Palm Canyon Dr
A4
Palm Springs, CA 92262-1868

Mailing address

1775 E. Palm Canyon Drive
Suite110, #373
Palm Springs, CA 92262
Phone (442) 268-7000

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
95058572CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1922553593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E. PALM CANYON DRIVE",
            "address_2": "SUITE110, #373",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "442-268-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N PALM CANYON DR",
            "address_2": "A4",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922621868",
            "telephone_number": "442-268-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CAMP",
        "first_name": "RICHARD",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95058572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.