Active NPI
Patricia Perry, PSYD
- Clinical Psychologist
- Dublin, OH
National Provider Identifier
1083656292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5446
- Practice address
- 6465 Reflections Dr Ste 110
Dublin, OH 43017-2353 - Phone
- (614) 792-1132
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5446 | OH | Primary |
Addresses
Primary practice location
6465 Reflections Dr Ste 110
Dublin, OH 43017-2353
Mailing address
3657 Knollwood Dr
Beavercreek, OH 45432-2217
Phone (937) 268-6511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2386289 | Medicaid | OH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1083656292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3657 KNOLLWOOD DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454322217",
"telephone_number": "937-268-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 REFLECTIONS DR STE 110",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172353",
"telephone_number": "614-792-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PATRICIA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2386289",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.