Individual provider Active NPI

Tina Renee Alvares, MED LBS

  • Behavior Analyst
  • Somerset, PA
National Provider Identifier
1821737198
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH2414 Issued in PA
Practice address
Suite 307 Georgian Place
Somerset, PA 15501
Phone
(814) 444-0620
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH2414 PA Primary

Addresses

Primary practice location

Suite 307 Georgian Place
Somerset, PA 15501

Mailing address

Suite 307 Georgian Place
Somerset, PA 15501
Phone (814) 444-0620

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
Master of Education

State licenses

LicenseStateTypeSpecialty
BH2414PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Human Services of Pennsylvania, LLC PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 1

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1821737198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 307 GEORGIAN PLACE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-444-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 307 GEORGIAN PLACE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-444-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARES",
        "first_name": "TINA",
        "middle_name": "RENEE",
        "credential": "MED LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH2414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.