Vicki R. Perry, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36126 Issued in TX

Practice address

6702 W Poly Webb Rd
Arlington, TX 76016-3615

Phone

(817) 478-0095

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lake Arlington Center for Pain Management

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Arlington, TX
  • NPI 1023234887
  NPD (past)
• Lake Arlington Holding Company

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Arlington, TX
  • NPI 1558589903
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1063776433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "VICKI",
        "middle_name": "R.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holli O Perry, APN
• Mary Kathleen Perry, D.C.
• Sharonda Perry
• Tanya L Perry, QMHP
• Thomas Chance Perry, FNP
• Jamille Manusos Perryman, LPC-A
• Joe Lee Perryman III, MD
• Persistence Counseling Services, LLC
• Perspective Counseling and Family Services
• Peter J Naus MD PA

• Clinical Psychologist in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.