Consolacion A Alcantara, MD
Individual provider Active NPI Psychiatry Physician · Norristown, PA
NPI 1811069834 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811069834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD 037413 L (PA)
- Practice address
- 50 Beach Drive
Norristown, PA 19403-5421 - Phone
- (610) 279-6100
- Fax
- (610) 279-0978
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050315000635 | PA | Practitioner - Psychiatry | 1557316304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 037413 L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercultural Family Services, Inc. | Current |
Accepting new patients | |
| Intercultural Family Services Inc. | Past | Accepting new patients |
Locations
2317 S 23rd St
Philadelphia, PA 19145
Phone (215) 336-3553
4225 Chestnut St
Philadelphia, PA 19104
Phone (215) 386-1298
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ifsinc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD 037413 L | PA | Yes |
Addresses
Primary practice location
50 Beach Drive
Norristown, PA 19403-5421
Mailing address
50 Beach Drive
Norristown, PA 19403-5421
Phone (610) 279-6100
Other providers in Norristown, PA
- Radhika Devi Akku
- Kelly E Alameno
- Danielle Alba
- Brianna Albertini
- Kaleigh Albright
- Allen Soffer OD PC
- Christopher Allen
- Kimberly Allen
- Allied Therapy Associates LLC
- Patren Altenor
All providers in Norristown, PA · Psychiatry Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.