Active NPI
Mario Alonso, PH.D.
- Psychologist
- Allentown, PA
National Provider Identifier
1184621682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS002534L
- Practice address
- 1011 Brookside Rd
Suite 305
Allentown, PA 18106-9020 - Phone
- (610) 437-2277
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS002534L | PA | Primary |
Addresses
Primary practice location
1011 Brookside Rd
Suite 305
Allentown, PA 18106-9020
Mailing address
1011 Brookside Rd
Suite 305
Allentown, PA 18106-9020
Phone (610) 437-2277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01522802 | Other | PA | CAPITAL BLUE CROSS ID |
| 089817 | Other | PA | BLUE SHIELD PROVIDER NUM. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002534L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Consultation Associates, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Allentown, PA
- NPI 1093774010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1184621682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 BROOKSIDE RD",
"address_2": "SUITE 305",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069020",
"telephone_number": "610-437-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BROOKSIDE RD",
"address_2": "SUITE 305",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069020",
"telephone_number": "610-437-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "MARIO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS002534L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS ID",
"identifier": "01522802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUM.",
"identifier": "089817",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.