Active NPI
Alvaro Jorge Gonzalez Alfonzo, MD
- Psychiatry Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME150279
- Practice address
- 900 Carillon Pkwy Ste 200
Saint Petersburg, FL 33716-1108 - Phone
- (727) 519-2760
- Fax
- (727) 333-6384
- NPI assigned
- May 31, 2017
- Last updated
- Oct 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | ME150279 | FL | Primary |
Addresses
Primary practice location
900 Carillon Pkwy Ste 200
Saint Petersburg, FL 33716-1108
Mailing address
900 Carillon Pkwy Ste 200
Saint Petersburg, FL 33716-1108
Phone (727) 519-2760
Other practice location 1
20 York Street
YNHH Tompkins 226
New Haven, CT 06510-3220
Phone (203) 688-9503
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Alvaro.gonzalezalfonzoMD@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Behavioral Health Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14527 7TH St
Dade City, FL 33523-3102
Phone (352) 521-1474
14541 7TH St
Dade City, FL 33523-3102
Phone (352) 521-1474
7809 Massachusetts Ave
New Port Richey, FL 34653-3028
Phone (727) 841-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Winter Haven Hospital Inc | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc | Current | Accepting new patients | |
| Northside Behavioral Health Center, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health, Inc | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health Inc. | Past | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Past | Accepting new patients |
Locations
1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 281-9390
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010
7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
900 Carillon Pkwy
Ste 200
St Petersburg, FL 33716
Phone (727) 519-2760
12512 Bruce B Downs Blvd
Tampa, FL 33612
Phone (813) 977-8700
2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582
Interoperability endpoints
- alvaro.gonzalezalfonzomd@direct.mybaycare.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1225312549
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
dba BayCare Life Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1417052713
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tampa, FL
- NPI 1669498002
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1952856858
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Trinity, FL
- NPI 1164790648
-
dba BH Mandala Urgent Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1801611132
-
dba Baycare Life Management
- Mental Health Counselor
- Tampa, FL
- NPI 1659326130
-
dba BayCare Life Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valrico, FL
- NPI 1215403662
-
dba Harbor
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1508864521
-
dba BayCare Life Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1720540578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1619405891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CARILLON PKWY STE 200",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337161108",
"telephone_number": "727-519-2760",
"fax_number": "727-333-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CARILLON PKWY STE 200",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337161108",
"telephone_number": "727-519-2760",
"fax_number": "727-333-6384"
}
],
"practiceLocations": [
{
"address_1": "20 York Street",
"address_2": "YNHH Tompkins 226",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-9503",
"fax_number": "804-207-8808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ ALFONZO",
"first_name": "ALVARO",
"middle_name": "JORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-31",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"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": "FL",
"license": "ME150279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alvaro.gonzalezalfonzoMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Behavioral Health Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.