Individual provider Active NPI

Vanessa Alvarez, PH.D.

  • Psychologist
  • Coatesville, PA
National Provider Identifier
1215673389
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11253 Issued in MA
Practice address
220 Fairview Rd
Coatesville, PA 19320-4448
Phone
(305) 458-2406
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11253 MA Primary

Addresses

Primary practice location

220 Fairview Rd
Coatesville, PA 19320-4448

Mailing address

220 Fairview Rd
Coatesville, PA 19320-4448
Phone (305) 458-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916003754 PA Practitioner - Clinical Psychologist 8123522802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 Fairview Rd
Coatesville, PA 19320-4448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11253MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Alvarez PH.D. LLC CurrentSince Aug 10, 2025 Accepting new patients
Vanessa Alvarez PH.D. LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

220 Fairview Rd
Coatesville, PA 19320
Phone (305) 458-2406

Organizations & group practices 2

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1215673389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FAIRVIEW RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204448",
            "telephone_number": "305-458-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FAIRVIEW RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204448",
            "telephone_number": "305-458-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "VANESSA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.