Pierre E Altieri, PHD

Individual provider Active NPI Clinical Psychologist · Ponce, PR

NPI 1881997179 · NPPES record last updated Oct 16, 2024

Key facts

NPI
1881997179
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
5379 (PR)
Practice address
396 Calle Dr. Luis F. Salas
Urb. Ind Reparada 2
Ponce, PR 00716-0376
Phone
(939) 248-7709
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiber Health Public Benefit Corporation (15 clinicians)

Practice addresses (Care Compare)

396 Calle Dr Luis F Salas
Urb. Ind. Reparada
Ponce, PR 00716
Phone 78781225255835

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140205001029 PR Practitioner - Clinical Psychologist 5991934382 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5379PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arist Medical Sciences University, Public Benefit Corporation Current
since Jul 1, 2015
Accepting new patients
Tiber Health, Public Benefit Corporation Current
since Jul 1, 2015
Accepting new patients
Tiber Health, Public Benefit Corporation Clinical Current Accepting new patients
Arist Medical Sciences University, PBC Psychologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5379 PR Yes

Addresses

Primary practice location

396 Calle Dr. Luis F. Salas
Urb. Ind Reparada 2
Ponce, PR 00716-0376

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 812-2525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 16, 2024.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1881997179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-812-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CALLE DR. LUIS F. SALAS",
            "address_2": "URB. IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160376",
            "telephone_number": "939-248-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIERI",
        "first_name": "PIERRE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

All providers in Ponce, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.