Active NPI
Dinesh R Perera, LMFT
- Marriage & Family Therapist
- Woodbridge, CT
National Provider Identifier
1033434303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001194
- Practice address
- 214 Amity Rd
Woodbridge, CT 06525-2241 - Phone
- (203) 300-7029
- NPI assigned
- Mar 30, 2010
- Last updated
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001194 | CT | Primary |
Addresses
Primary practice location
214 Amity Rd
Woodbridge, CT 06525-2241
Mailing address
66 Cosey Beach Ave
East Haven, CT 06512-4955
Phone (203) 300-7029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1440 Whalley Ave
New Haven, CT 06515-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001194 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of New Haven Inc. | Current | Accepting new patients | |
| Jewish Family Service of New Haven Inc | Past | Accepting new patients |
Locations
1440 Whalley Ave
New Haven, CT 06515
Phone (203) 389-5599
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/jfsnh/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Haven, CT
- NPI 1326107376
-
- Community/Behavioral Health Agency
- New Haven, CT
- NPI 1194904854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1033434303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 COSEY BEACH AVE",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065124955",
"telephone_number": "203-300-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 AMITY RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252241",
"telephone_number": "203-300-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERERA",
"first_name": "DINESH",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, CT
- Pathology & Laboratory Services, LLC
- Joel Paul, MSPT
- Kimberly Ann Pearce, ATC,LAT
- Patrycja Marta Pedzinska, MSOTR/L
- Linda Perelberg, LCSW
- Personal Care Training LLC (personal care touch home services)
- Pervis Enterprise LLC (Integrative Pain and Psych Care)
- Brian Pervis, APRN
- Aimee Petremont, BCBA
- Beverley Charmaine Phillips-Lewis, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.