Individual provider Active NPI

Joseph S Alper, PHD

  • Psychologist
  • Champaign, IL
National Provider Identifier
1780618595
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071002452 Issued in IL
Practice address
2008 Scottsdale Dr
Champaign, IL 61822-7641
Phone
(217) 840-4208
Fax
(888) 958-1846
NPI assigned
Jul 10, 2006
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071002452 IL Primary

Addresses

Primary practice location

2008 Scottsdale Dr
Champaign, IL 61822-7641

Mailing address

2008 Scottsdale Dr
Champaign, IL 61822-7641
Phone (217) 840-4208

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071002452ILMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1780618595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 SCOTTSDALE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227641",
            "telephone_number": "217-840-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 SCOTTSDALE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227641",
            "telephone_number": "217-840-4208",
            "fax_number": "888-958-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPER",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071002452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.