Individual provider Active NPI

Nicholas Casper Aliotti, PH.D

  • Clinical Psychologist
  • Palm Desert, CA
National Provider Identifier
1881705259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CAPSY 8106 Issued in CA
Practice address
55 Payson Cir
Palm Desert, CA 92211-4202
Phone
(760) 469-3581
Fax
(760) 345-8409
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X CAPSY 8106 CA Primary

Addresses

Primary practice location

55 Payson Cir
Palm Desert, CA 92211-4202

Mailing address

55 Payson Cir
Palm Desert, CA 92211-4202
Phone (760) 469-3581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000677 CA Practitioner - Clinical Psychologist 2365474962 Practice locations: Palm Desert, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Payson Cir
Palm Desert, CA 92211-4202
Phone (760) 469-3581

55 Payson Circle
Palm Desert, CA 92211-4202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CAPSY 8106CAMDClinical Psychologist
8106CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881705259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PAYSON CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114202",
            "telephone_number": "760-469-3581",
            "fax_number": "760-345-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PAYSON CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114202",
            "telephone_number": "760-469-3581",
            "fax_number": "760-345-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIOTTI",
        "first_name": "NICHOLAS",
        "middle_name": "CASPER",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CAPSY 8106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.