ALEXANDER DAVID CAMARGO PSY.D.
NPI 1366936502
Psychologist in New York, NY

Active since June 20, 2018PECOS Enrolled
1140 BROADWAY RM 204, NEW YORK, NY 10001(646) 492-8941 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2019, Jan 7, 2019, Dec 5, 2018 and 1 more (4 updates tracked since 2018).

About Alexander David Camargo Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER DAVID CAMARGO PSY.D. (NPI 1366936502) is an individual psychologist in New York, New York, licensed in New York (022679) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366936502
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameALEXANDER DAVID CAMARGOCredential: PSY.D.
Location Address1140 BROADWAY RM 204New York, NY 10001-7504
Mailing Address300 E 34th St Apt 25gNew York, NY 10016-5218 · (646) 493-8941
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2018
Last NPPES UpdateFebruary 5, 20194 updates tracked since enumeration
NPI 1366936502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 022679
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1140 BROADWAY RM 204, New York, NY 10001

Secondary Practice Location 1

Location 130 W 86th St Apt 1FNew York, NY 10024-3600 · Phone (646) 493-8941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexander David Camargo Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456826361
PECOS Enrollment IDI20260408002841
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1140 BROADWAY RM 204
NEW YORK, NY 10001
Counselor (Mental Health)
1140 BROADWAY RM 204
NEW YORK, NY 10001
Social Worker (Clinical)
1140 BROADWAY RM 204
NEW YORK, NY 10001
Psychologist (Clinical)
1140 BROADWAY RM 204
NEW YORK, NY 10001
Social Worker (Clinical)
1140 BROADWAY RM 204
NEW YORK, NY 10001
Psychologist (Clinical)
1140 BROADWAY RM 204
NEW YORK, NY 10001
Psychologist
1140 BROADWAY RM 204
NEW YORK, NY 10001
Psychologist
1140 BROADWAY RM 204
NEW YORK, NY 10001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Camargo's NPI number?

The NPI number for Alexander Camargo is 1366936502. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Alexander Camargo located?

Alexander Camargo practices at 1140 Broadway Rm 204, New York, NY 10001. The listed phone number is (646) 492-8941.

What is Alexander Camargo's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alexander Camargo enrolled in Medicare?

Yes. Alexander Camargo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Camargo was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.