MARIO GASPAR DE ALBA
NPI 1841921046
Psychologist - Family in North Bend, WA

Q: What is Mario Gaspar De Alba's NPI number?

The NPI number for Mario Gaspar De Alba is 1841921046. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Q: What is Mario Gaspar De Alba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Q: Is Mario Gaspar De Alba enrolled in Medicare?

No. Mario Gaspar De Alba has opted out of Medicare through January 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 20, 2022Opted out of Medicare · through Jan 14, 2027

301 W NORTH BEND WAY, NORTH BEND, WA 98045(425) 200-0130(425) 209-0766 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mario Gaspar De Alba NPPES

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

MARIO GASPAR DE ALBA (NPI 1841921046) is an individual family provider in North Bend, Washington, licensed in Washington (MG60848499) and active in the NPI registry since June 2022. He has opted out of Medicare through January 14, 2027.

NPPES Registry Identity

NPI1841921046

Entity TypeIndividualMale

Primary Taxonomy103TF0000X

Provider Legal NameMARIO GASPAR DE ALBA

Location Address301 W NORTH BEND WAYNorth Bend, WA 98045-8163

Mailing Address301 W North Bend WayNorth Bend, WA 98045-8163 · (425) 200-0130 · Fax (425) 209-0766

Phone(425) 200-0130

Fax(425) 209-0766

Sole ProprietorNo

Enumeration DateJune 20, 2022

NPPES CertifiedJune 18, 2022

✔ NPI 1841921046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers

Taxonomy Code103TF0000X

License✔ Licensed in WA · MG60848499

Definition

A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

301 W NORTH BEND WAY, North Bend, WA 98045

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mario Gaspar De Alba 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 14, 2025 through January 14, 2027.

Opt-Out Effective DateJanuary 14, 2025

Opt-Out In Effect ThroughJanuary 14, 2027Opt-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

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

CHRISTINE ROETH CFLE-P

Marriage & Family Therapist

301 W NORTH BEND WAY
NORTH BEND, WA 98045

King County (425) 200-0130

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 Gaspar De Alba's NPI number?

The NPI number for Mario Gaspar De Alba is 1841921046. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Mario Gaspar De Alba located?

Mario Gaspar De Alba practices at 301 W North Bend Way, North Bend, WA 98045. The listed phone number is (425) 200-0130.

What is Mario Gaspar De Alba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Is Mario Gaspar De Alba enrolled in Medicare?

No. Mario Gaspar De Alba has opted out of Medicare through January 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mario Gaspar De Alba was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.