Individual provider Active NPI

Alondra Mali Ayala Jimenez, M.D.

  • Psychiatry Physician
  • Arlington, VA
National Provider Identifier
1023369170
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101260956 Issued in VA
Practice address
2501 N Glebe Rd
Arlington, VA 22207-3558
Phone
(703) 776-3626
Fax
(888) 367-1898
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101260956 VA
Psychiatry Physician 2084P0800X 0101260956 VA Primary

Addresses

Primary practice location

2501 N Glebe Rd
Arlington, VA 22207-3558

Mailing address

2501 N Glebe Rd
Arlington, VA 22207-3558

Other practice location 1

Univ Of Pr Medical Sciences Campus Main Bldg
Department of Psychiatry, 9th floor, office A994
San Juan, PR 00935-0001
Phone (787) 758-2525 ext. 1924

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address aayalajimenez369886@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180904000066 VA Practitioner - PsychiatryPractitioner - Neurology 0840562476 Reassigns benefits to 2 organizations
I20230622002852 WI Practitioner - Psychiatry 0840562476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101260956VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Chesapeake CurrentSince Jul 6, 2021 Accepting new patients
City of Chesapeake CurrentSince Jul 6, 2021 Accepting new patients
Mental Health Emergency Center, Inc. CurrentSince May 13, 2023 Accepting new patients

Locations

224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334

1525 N 12th St
Milwaukee, WI 53205
Phone (414) 966-3030

Interoperability endpoints

  • Direct secure messaging: aayalajimenez369886@direct.myadvocateaurora.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1023369170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "fax_number": "888-367-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-776-3626",
            "fax_number": "888-367-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Univ Of Pr Medical Sciences Campus Main Bldg",
            "address_2": "Department of Psychiatry, 9th floor, office A994",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-758-2525 x1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA JIMENEZ",
        "first_name": "ALONDRA",
        "middle_name": "MALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101260956",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101260956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1525 N 12th St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532052591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aayalajimenez369886@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1525 N 12th St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532052591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.