Individual provider Active NPI

Julie A Perlow, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1104061746
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014225 Issued in NY
Practice address
910 W End Ave
1C
New York, NY 10025-3533
Phone
(212) 851-8100
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014225 NY Primary

Addresses

Primary practice location

910 W End Ave
1C
New York, NY 10025-3533

Mailing address

34 Claremont Dr
Maplewood, NJ 07040-2120
Phone (917) 650-7895

Other identifiers 1

IdentifierTypeStateIssuer
02265621MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
014225NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychassociates LLP Clinical PastSince Dec 11, 2017 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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1104061746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CLAREMONT DR",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402120",
            "telephone_number": "917-650-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W END AVE",
            "address_2": "1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253533",
            "telephone_number": "212-851-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOW",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02265621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.