Healthcare Provider Details

I. General information

NPI: 1235404724
Provider Name (Legal Business Name): ROBERTO ALVES PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10707 66TH ST N STE 9
PINELLAS PARK FL
33782-2336
US

IV. Provider business mailing address

10707 66TH ST N STE 9
PINELLAS PARK FL
33782-2336
US

V. Phone/Fax

Practice location:
  • Phone: 727-314-5001
  • Fax:
Mailing address:
  • Phone: 727-314-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY8491
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY# 8491
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY8491
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPY8491
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: