Individual provider Active NPI

Amanda Nicole Carrera-Alvarez, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1528378601
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
275750 Issued in NY
Practice address
760 Broadway, Department of Psychiatry
Woodhull Medical & Mental Health Center
Brooklyn, NY 11206
Phone
(718) 963-8000
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 275750 NY
Psychiatry Physician 2084P0800X DR.0074198 CO
Psychiatry Physician 2084P0800X 275750 NY Primary

Addresses

Primary practice location

760 Broadway, Department of Psychiatry
Woodhull Medical & Mental Health Center
Brooklyn, NY 11206

Mailing address

PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255

Other practice location 1

2373 Central Park Blvd Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255

Other practice location 2

109 W 27th St Ste 5S
New York, NY 10001-0265
Phone (833) 351-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, CO, PR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250617001502 CT Practitioner - Psychiatry 9537470455 Reassigns benefits to 1 organization
I20250617001656 NY Practitioner - Psychiatry 9537470455 Reassigns benefits to 1 organization
I20250618003923 CO Practitioner - Psychiatry 9537470455 Reassigns benefits to 1 organization
I20250930000064 PR Practitioner - Psychiatry 9537470455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Coto Laurel, PR 00780

PO Box
Suite 2378
San German, PR 00683-2378

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Apr 13, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2025 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Apr 13, 2025 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 531-8310

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1528378601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24449",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870589",
            "telephone_number": "833-351-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY, DEPARTMENT OF PSYCHIATRY",
            "address_2": "WOODHULL MEDICAL & MENTAL HEALTH CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 Central Park Blvd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382300",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Ste 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRERA-ALVAREZ",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "275750",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0074198",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "275750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.