Organization Active NPI

Isabel Alfonso, PH.D., Inc.

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1114347168
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6302 Issued in FL
Legal business name
ISABEL ALFONSO, PH.D., INC.
Practice address
1017 Thomasville Rd
Suite B
Tallahassee, FL 32303-6262
Phone
(850) 577-3204
Fax
(850) 577-0605
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Isabel Alfonso, PH.D.NPI 1740248392
Title
Licensed Clinical Psychologist
Phone
(850) 577-3204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6302 FL Primary

Addresses

Primary practice location

1017 Thomasville Rd
Suite B
Tallahassee, FL 32303-6262

Mailing address

1017 Thomasville Rd
Suite B
Tallahassee, FL 32303-6262
Phone (850) 577-3204

National Provider Directory

National Provider Directory

Locations

1017 Thomasville Rd
Ste B
Tallahassee, FL 32303
Phone (850) 577-3204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1114347168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 THOMASVILLE RD",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036262",
            "telephone_number": "850-577-3204",
            "fax_number": "850-577-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 THOMASVILLE RD",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036262",
            "telephone_number": "850-577-3204",
            "fax_number": "850-577-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL ALFONSO, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-577-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.