Individual provider Active NPI

Alec James Divito, MD

  • Psychiatry Physician
  • Aspinwall, PA
National Provider Identifier
1811563109
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD484982 Issued in PA
Practice address
101 Freeport Rd
Aspinwall, PA 15215-2943
Phone
(412) 444-8636
Fax
(844) 688-8724
NPI assigned
May 27, 2021
Reactivated
Jul 14, 2022
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD484982 PA Primary

Addresses

Primary practice location

101 Freeport Rd
Aspinwall, PA 15215-2943

Mailing address

101 Freeport Rd
Aspinwall, PA 15215-2943
Phone (412) 444-8636

Other practice location 1

5143 Frich Dr
Pittsburgh, PA 15227-3617
Phone (412) 862-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612001864 PA Practitioner - Psychiatry 0749662542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD484982PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Psychiatry CurrentSince May 30, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince May 30, 2024 Accepting new patients
Reverie Psychiatry and Wellness, PLLC Psychiatry PastSince Mar 19, 2025 Accepting new patients

Locations

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

1700 St Lukes Blvd
Ste 402
Easton, PA 18045
Phone (301) 523-5990

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: adivito275020@direct-sluhn.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1811563109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FREEPORT RD",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152152943",
            "telephone_number": "412-444-8636",
            "fax_number": "844-688-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FREEPORT RD",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152152943",
            "telephone_number": "412-444-8636",
            "fax_number": "844-688-8724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5143 Frich Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152273617",
            "country_code": "US",
            "telephone_number": "412-862-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "ALEC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "deactivation_date": "2022-06-16",
        "reactivation_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD484982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspinwall, PA

Sources for this page

Verify at the official NPI Registry.