Active NPI
Nicolas Agustin Alvarez, BA
- Psychologist
- Worcester, MA
National Provider Identifier
1255066569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 904 Main St # 2
Worcester, MA 01610-1433 - Phone
- (704) 701-8522
- NPI assigned
- Jul 20, 2022
- Last updated
- Aug 10, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
904 Main St # 2
Worcester, MA 01610-1433
Mailing address
950 Main St
Worcester, MA 01610-1477
Phone (508) 793-7711
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)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1255066569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 MAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016101477",
"telephone_number": "508-793-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 MAIN ST # 2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016101433",
"telephone_number": "704-701-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "NICOLAS",
"middle_name": "AGUSTIN",
"name_prefix": "Mr.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.