DR. MARIO ALONSO PH.D.
NPI 1184621682
Psychologist in Allentown, PA

Active since June 30, 2005Opted out of Medicare · through Jan 1, 2028
1011 BROOKSIDE RD, SUITE 305, ALLENTOWN, PA 18106(610) 437-2277 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mario Alonso Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO ALONSO PH.D. (NPI 1184621682) is an individual psychologist in Allentown, Pennsylvania, licensed in Pennsylvania (PS002534L) and active in the NPI registry since June 2005. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184621682
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARIO ALONSOCredential: PH.D.
Location Address1011 BROOKSIDE RD, SUITE 305Allentown, PA 18106-9020
Mailing Address1011 Brookside Rd, Suite 305Allentown, PA 18106-9020 · (610) 437-2277
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateAugust 1, 2007
NPI 1184621682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS002534L
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1011 BROOKSIDE RD, Allentown, PA 18106

Other Identifiers 2

Other01522802PA · Capital Blue Cross Id
Other089817PA · Blue Shield Provider Num.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Mario Alonso Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1011 BROOKSIDE RD, SUITE 305
ALLENTOWN, PA 18106
In Home Supportive Care
1011 BROOKSIDE RD, SUITE 102
ALLENTOWN, PA 18106
Clinical Nurse Specialist (Psychiatric/Mental Health)
1011 BROOKSIDE RD, STE 280
ALLENTOWN, PA 18106
Counselor (Mental Health)
1011 BROOKSIDE RD
ALLENTOWN, PA 18106
Counselor (Professional)
1011 BROOKSIDE RD, SUITE 304
ALLENTOWN, PA 18106
Home Health
1011 BROOKSIDE RD, SUITE 102
ALLENTOWN, PA 18106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Alonso's NPI number?

The NPI number for Mario Alonso is 1184621682. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Mario Alonso located?

Mario Alonso practices at 1011 Brookside Rd Suite 305, Allentown, PA 18106. The listed phone number is (610) 437-2277.

What is Mario Alonso's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mario Alonso enrolled in Medicare?

No. Mario Alonso has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mario Alonso was last updated on August 1, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.