Active NPI
Alfonso Alvarez
- Rehabilitation Psychologist
- Oklahoma City, OK
National Provider Identifier
1114245768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 201 NE 50TH St
Oklahoma City, OK 73105-1811 - Phone
- (405) 570-2496
- NPI assigned
- May 6, 2010
- Last updated
- May 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | NU | Primary |
Addresses
Primary practice location
201 NE 50TH St
Oklahoma City, OK 73105-1811
Mailing address
5801 NW 162ND St
Edmond, OK 73013-9437
Phone (405) 570-2496
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1114245768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 NW 162ND ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730139437",
"telephone_number": "405-570-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NE 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731051811",
"telephone_number": "405-570-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "ALFONSO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.