Individual provider Active NPI

Catarina Durante Bergue Alves, PHD, LP

  • Psychologist
  • Clifton Park, NY
National Provider Identifier
1699504472
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
026454 Issued in NY
Practice address
10 Maxwell Dr Ste 205
Clifton Park, NY 12065-2933
Phone
(518) 288-7156
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 026454 NY Primary

Addresses

Primary practice location

10 Maxwell Dr Ste 205
Clifton Park, NY 12065-2933

Mailing address

13110 Rockaway St
Malta, NY 12020-5230
Phone (618) 534-4423

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
026454NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R&M Neuropsychology, PLLC CurrentSince Aug 4, 2024 Accepting new patients
Martin Neuropsychology PLLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

10 Maxwell Dr
Ste 205
Clifton Park, NY 12065
Phone (518) 288-7156

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1699504472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 ROCKAWAY ST",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205230",
            "telephone_number": "618-534-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAXWELL DR STE 205",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652933",
            "telephone_number": "518-288-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANTE BERGUE ALVES",
        "first_name": "CATARINA",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.