Active NPI
Alejo Parellada, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Brooklyn, NY
National Provider Identifier
1417070442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 210573
- Practice address
- 634 Bergen St
#1
Brooklyn, NY 11238-3450 - Phone
- (718) 638-5321
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 210573 | NY | Primary |
Addresses
Primary practice location
634 Bergen St
#1
Brooklyn, NY 11238-3450
Mailing address
634 Bergen St
#1
Brooklyn, NY 11238-3450
Phone (718) 638-5321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210573 | Other | NY | STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210573 | NY | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Center for Psychotherapy,Inc. | Past | Accepting new patients | |
| Service Program for Older People, Inc | Past | Accepting new patients | |
| Service Program for Older People | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1275516213
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831644657
-
- Geriatric Psychiatry Physician
- New York, NY
- NPI 1740211143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417070442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 BERGEN ST",
"address_2": "#1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112383450",
"telephone_number": "718-638-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 BERGEN ST",
"address_2": "#1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112383450",
"telephone_number": "718-638-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARELLADA",
"first_name": "ALEJO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NY",
"license": "210573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "210573",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.