Active NPI
Renee Deborah Alpert, PH.D.
- Clinical Psychologist
- Santa Ana, CA
National Provider Identifier
1962447086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY9036
- Practice address
- 1651 E 4TH St Ste 230
Santa Ana, CA 92701-5169 - Phone
- (714) 557-3742
- Fax
- (714) 283-3032
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY9036 | CA | Primary |
Addresses
Primary practice location
1651 E 4TH St Ste 230
Santa Ana, CA 92701-5169
Mailing address
3610 E Woodbine Rd
Orange, CA 92867-2069
Phone (714) 557-3742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100913000404 | CA | Practitioner - Psychologist Billing Independently | 0345365599 | Practice locations: Costa Mesa, CA; Santa Ana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1500 Adams Ave
Suite 305
Costa Mesa, CA 92626-3819
Phone (714) 557-3742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9036 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1962447086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 E WOODBINE RD",
"city": "ORANGE",
"state": "CA",
"postal_code": "928672069",
"telephone_number": "714-557-3742",
"fax_number": "714-283-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 E 4TH ST STE 230",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015169",
"telephone_number": "714-557-3742",
"fax_number": "714-283-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALPERT",
"first_name": "RENEE",
"middle_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY9036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.