Individual provider Active NPI

Paul Thomas Perrotti, MA LPC

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1063528685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
C0001706 Issued in OH
Practice address
9900 Cincinnati - Columbus Rd
Cincinnati, OH 45241-1209
Phone
(513) 779-9955
Fax
(513) 779-9955
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X C0001706 OH Primary

Addresses

Primary practice location

9900 Cincinnati - Columbus Rd
Cincinnati, OH 45241-1209

Mailing address

9900 Cincinnati - Columbus Rd
Cincinnati, OH 45241-1209
Phone (513) 779-9955

Other identifiers 1

IdentifierTypeStateIssuer
1218066OtherCHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C0001706OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen B Heilman Counseling Resource Associates Psychologist PastSince May 10, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063528685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 CINCINNATI - COLUMBUS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411209",
            "telephone_number": "513-779-9955",
            "fax_number": "513-779-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 CINCINNATI - COLUMBUS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411209",
            "telephone_number": "513-779-9955",
            "fax_number": "513-779-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTI",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "C0001706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1218066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.