Individual provider Active NPI

Alvin Pam, PH.D.

  • Clinical Psychologist
  • White Plains, NY
National Provider Identifier
1922013358
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003893-01 Issued in NY
Practice address
65 McKinley Ave
Apartment CG-1
White Plains, NY 10606-1635
Phone
(712) 829-0652
Fax
(914) 437-7139
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3893 NY
Family Psychologist 103TF0000X 3893 NY
Group Psychotherapy Psychologist 103TP2701X 3893 NY
Clinical Psychologist 103TC0700X 003893-01 NY Primary

Addresses

Primary practice location

65 McKinley Ave
Apartment CG-1
White Plains, NY 10606-1635

Mailing address

65 McKinley Ave
Apartment CG-1
White Plains, NY 10606-1635
Phone (712) 829-0652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070301000633 NY Practitioner - Clinical Psychologist 7012019508 Practice locations: White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

White Plains, NY 10606
Phone (914) 428-1830

65 McKinley Ave Apt
Suite 1
White Plains, NY 10606-1625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003893-01NYMDClinical Psychologist
3893NYMDGroup Psychotherapy Psychologist
003893NYMDPediatric Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1922013358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MCKINLEY AVE",
            "address_2": "APARTMENT CG-1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061635",
            "telephone_number": "712-829-0652",
            "fax_number": "914-437-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MCKINLEY AVE",
            "address_2": "APARTMENT CG-1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061635",
            "telephone_number": "712-829-0652",
            "fax_number": "914-437-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAM",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "3893",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "3893",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "3893",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003893-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.