Kalim Alexis Alcover-Pabon, PHD
Individual provider Active NPI Clinical Psychologist · Bethesda, MD
NPI 1558680280 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1558680280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 019553 (NY)
- Practice address
- 8901 Wisconsin Ave BLDG 19
Bethesda, MD 20889-0004 - Phone
- (301) 400-1937
- NPI assigned
- May 20, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019553 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 019553 | NY | Yes |
Addresses
Primary practice location
8901 Wisconsin Ave BLDG 19
Bethesda, MD 20889-0004
Mailing address
8901 Wisconsin Ave BLDG 19
Bethesda, MD 20889-0004
Phone (301) 400-1937
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All providers in Bethesda, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.