Alexander Fidalgo, CARC #0127

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0127 Issued in MA

Practice address

155 Maple St Ste 304
Springfield, MA 01105-1828

Phone

(813) 409-9590

NPI assigned

Sep 3, 2020

Sex

Male

Sole proprietor

Yes

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.

• Af Recovery Process

  • Recovery Care Clinic/Center
  • Worcester, MA
  • NPI 1497455133
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2020.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1154935518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLANTATION ST APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044964",
            "telephone_number": "813-409-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST STE 304",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "813-409-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDALGO",
        "first_name": "ALEXANDER",
        "credential": "CARC #0127",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MA",
            "license": "0127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "home",
            "affiliation": "N",
            "endpointDescription": "5 Plantation st Apt 1,Worcester Ma 01604",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "8134099590",
            "address_1": "5 Plantation St Apt 1",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016044964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Ferron, DC
• Rachel Ferry
• Lucy Feyerabend
• Jessica Danielle Feyre, PA-C
• Viriato Manuel Fiallo, M.D.
• Gaudiosa Fidelis, MSW
• Autumn M Fiedler, DNP FNP-C CWOCN
• Hannah Katherine Field
• Lawrence Henry Field, M.D.FAAPMR
• Lynn Carol Field, RN

• All providers in Springfield, MA
• Peer Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.