Individual provider Active NPI

Ryan Campion Alvares, M.D.

  • Psychiatry Physician
  • Springfield, MA
National Provider Identifier
1598109944
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
279379 Issued in MA
Practice address
332 Birnie Ave
Springfield, MA 01107
Phone
(413) 420-2302
NPI assigned
Apr 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.207828 LA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 279379 MA Primary

Addresses

Primary practice location

332 Birnie Ave
Springfield, MA 01107

Mailing address

494 Appleton St
Holyoke, MA 01040-3211
Phone (413) 420-2302

Other practice location 1

1440 Canal St
TB53
New Orleans, LA 70112-2703
Phone (504) 988-4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190911003284 MA Practitioner - Psychiatry 7315242229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

622 State St
Springfield, MA 01109-4104
Phone (413) 654-1602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279379MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Jul 20, 2019 Accepting new patients
Center for Human Development, Inc. CurrentSince Jul 20, 2019 Accepting new patients

Locations

494 Appleton St
Holyoke, MA 01040
Phone (413) 420-2302

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

622 State St
Springfield, MA 01109
Phone (413) 439-1200

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 2

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": "1367107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1598109944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 APPLETON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403211",
            "telephone_number": "413-420-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-420-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Canal St",
            "address_2": "TB53",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122703",
            "country_code": "US",
            "telephone_number": "504-988-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARES",
        "first_name": "RYAN",
        "middle_name": "CAMPION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-28",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.207828",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "279379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.