Individual provider Active NPI

Raphael Albert Alford, PH.D.

  • Psychologist
  • Bronx, NY
National Provider Identifier
1134283773
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015885-1 Issued in NY
Practice address
408 E 137TH St
Bronx, NY 10454-4004
Phone
(718) 993-3458
Fax
(718) 993-3948
NPI assigned
Dec 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015885-1 NY Primary

Addresses

Primary practice location

408 E 137TH St
Bronx, NY 10454-4004

Mailing address

3030 Radcliff Ave
Bronx, NY 10469-3916
Phone (718) 798-0289

Other practice location 1

3030 Radcliff Ave
Bronx, NY 10469-3916
Phone (718) 798-0289

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015885NYMDMental Health Counselor
015885-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: albert.alford.p2@direct.ucpnyc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134283773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 RADCLIFF AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693916",
            "telephone_number": "718-798-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 137TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544004",
            "telephone_number": "718-993-3458",
            "fax_number": "718-993-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Radcliff Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104693916",
            "country_code": "US",
            "telephone_number": "718-798-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "RAPHAEL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015885-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.