CMS-1500 Box 24J / 33a • NPI
1912540477
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TH0100X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service
Box 32 Service Location & ZIP+4
2151 E CONVENTION CENTER WAY, ONTARIO, CA, 91764-5429
✓ 9-Digit EDI 837 ZIP+4 (91764-5429)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1912540477 (CHRIS ALAN ALCID) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1912540477 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHRIS ALAN ALCID |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service NUCC Code: 103TH0100X (Psychologist, Health Service) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2151 E CONVENTION CENTER WAY, ONTARIO, CA, 91764-5429 |
| Practice Telephone / Fax | Tel: (909) 259-5600 |
| Administrative Mailing Address | 16136 HUCKLEBERRY AVE, CHINO, CA, 91708-8884 |
| Enumeration & Last Sync | Enumerated: 2019-10-28 | CMS Record Updated: 2019-10-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TH0100X)
What Does Taxonomy Code 103TH0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TH0100X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHRIS ALAN ALCID)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TH0100X — Psychologist, Health ServicePlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Health Service | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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