Individual provider Active NPI

Alexander Vazquez

  • School Psychologist
  • New Castle, DE
National Provider Identifier
1093550279
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
290177 Issued in DE
Practice address
314 E Basin Rd
New Castle, DE 19720-4214
Phone
(215) 380-3376
NPI assigned
Jun 28, 2024
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 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 290177 DE Primary

Addresses

Primary practice location

314 E Basin Rd
New Castle, DE 19720-4214

Mailing address

841 Hoffman PL
Philadelphia, PA 19123-2006

Other practice location 1

80 Knight Ave
Runnemede, NJ 08078-1744
Phone (215) 380-3376

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
290177DEMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1093550279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HOFFMAN PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E BASIN RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204214",
            "telephone_number": "215-380-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Knight Ave",
            "address_purpose": "LOCATION",
            "city": "Runnemede",
            "state": "NJ",
            "postal_code": "080781744",
            "country_code": "US",
            "telephone_number": "215-380-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DE",
            "license": "290177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.