Elaine Costanzo Alvarez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 5342 Issued in CA

Practice address

18546 Roscoe Blvd Ste 210
Northridge, CA 91324-5454

Phone

(818) 710-8057

Fax

(818) 710-8042

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1417030800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255408",
            "telephone_number": "818-710-8057",
            "fax_number": "818-368-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 210",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245454",
            "telephone_number": "818-710-8057",
            "fax_number": "818-710-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ELAINE",
        "middle_name": "COSTANZO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 5342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alta-Grace L Tan, Psy D Psychological Services, Inc
• Alternative Solution, Inc
• Federico Alva, M.D.
• Edna Alvarado
• Gabriela Miriam Alvarenga
• Karla Alvarez, BA
• Dolly Alviz-Gutierrez, RN
• Am Hospice Care
• Amazing Senior Care on Lassen
• Amber Care Home Health, Inc.

• Clinical Psychologist in Northridge, CA
• Providers in Northridge, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.