Active NPI
Catarina Durante Bergue Alves, PHD, LP
- Psychologist
- Clifton Park, NY
National Provider Identifier
1699504472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 026454
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 026454 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&M Neuropsychology, PLLC | Current | Accepting new patients | |
| Martin Neuropsychology PLLC | Current | 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.
-
- Clinical Neuropsychologist
- Clifton Park, NY
- NPI 1760205645
-
- Clinical Neuropsychologist
- Clifton Park, NY
- NPI 1497330740
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.