Active NPI
Jesus Alvarez
- School Psychologist
- Yuma, AZ
National Provider Identifier
1497993414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3664641
- Practice address
- 4250 W 16TH St
Yuma, AZ 85364-4031 - Phone
- (928) 373-3451
- Fax
- (928) 373-3498
- NPI assigned
- Jan 29, 2009
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3664641 | AZ | Primary |
Addresses
Primary practice location
4250 W 16TH St
Yuma, AZ 85364-4031
Mailing address
4250 W 16TH St
Yuma, AZ 85364-4031
Phone (928) 373-3451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3664641 | AZ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crane Schools | 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.
-
- Local Education Agency (LEA)
- Yuma, AZ
- NPI 1881728814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1497993414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 W 16TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644031",
"telephone_number": "928-373-3451",
"fax_number": "928-373-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 W 16TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644031",
"telephone_number": "928-373-3451",
"fax_number": "928-373-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "JESUS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3664641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.