DR. CAMILLE GONZALEZ MAMI (PH.D.) – Psychologist, NPI 1922429505

DR. CAMILLE GONZALEZ MAMI (PH.D.) is a healthcare provider. based in Austin, Texas. specializing in Psychologist. They hold the professional credentials PH.D.. They hold a License No. 36482 (TX). The NPI Number for DR. CAMILLE GONZALEZ MAMI (PH.D.) is 1922429505

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAMILLE GONZALEZ MAMI (PH.D.)
NPI
1922429505
Phone
(512) 343-8850
Address
11211 TAYLOR DRAPER LN
Enumeration Date
26 December 2013
Last Update Date
26 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123438850
Graduation Year
2011 (15 years ago)
PAC ID
9133357494
Group Practice PAC ID
9739086091
Professional Enrollment ID
I20140113000276
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for DR. CAMILLE GONZALEZ MAMI (PH.D.)

  • 11211 TAYLOR DRAPER LN

    SUITE 202

    AUSTIN, TX 787593916

    Phone: (512) 343-8850

    Fax: (512) 343-8079

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140113000276IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation603537$0
90832Psychotherapy, 30 minutes499285$0
90785Psychiatric services complicated by communication factor4125$0
View full utilization report →

Insurance plans in this area (ZIP 78759)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739086091View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistTX
-TX
Clinical PsychologistTX
Clinical PsychologistTX
-TX
Clinical PsychologistTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

How do payers reference DR. CAMILLE GONZALEZ MAMI (PH.D.)?
For DR. CAMILLE GONZALEZ MAMI (PH.D.), use NPI 1922429505 as the unique 10-digit identifier.
Active or inactive — what applies to DR. CAMILLE GONZALEZ MAMI (PH.D.)?
You should see DR. CAMILLE GONZALEZ MAMI (PH.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. CAMILLE GONZALEZ MAMI (PH.D.)?
DR. CAMILLE GONZALEZ MAMI (PH.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CAMILLE GONZALEZ MAMI (PH.D.)?
Directory geography for DR. CAMILLE GONZALEZ MAMI (PH.D.) centers on Austin, Texas.
Does DR. CAMILLE GONZALEZ MAMI (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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