Individual provider Active NPI

Marcelo Joseph Alfano, PSYD

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1992916571
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6642 Issued in FL
Practice address
301 Almeria Ave
Suite 350
Coral Gables, FL 33134-5822
Phone
(305) 461-4702
Fax
(305) 461-4705
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6642 FL Primary

Addresses

Primary practice location

301 Almeria Ave
Suite 350
Coral Gables, FL 33134-5822

Mailing address

301 Almeria Ave
Suite 350
Coral Gables, FL 33134-5822
Phone (305) 461-4702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140204000633 FL Practitioner - Clinical Psychologist 6901898162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4960 SW 72ND Ave
Suite 210
Miami, FL 33155-5549
Phone (305) 461-4702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6642FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcelo J Alfano Psy D PA Psychologist CurrentSince Feb 23, 2005 Accepting new patients
Alliete Alfano, SLP, P.a. PastSince Jan 7, 2024 Accepting new patients

Locations

301 Almeria Ave
Ste 350
Coral Gables, FL 33134
Phone (305) 461-4702

4960 SW 72nd Ave
Ste 210
Miami, FL 33155
Phone (305) 461-4702

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1992916571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALMERIA AVE",
            "address_2": "SUITE 350",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345822",
            "telephone_number": "305-461-4702",
            "fax_number": "305-461-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALMERIA AVE",
            "address_2": "SUITE 350",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345822",
            "telephone_number": "305-461-4702",
            "fax_number": "305-461-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFANO",
        "first_name": "MARCELO",
        "middle_name": "JOSEPH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.