Gustavo Joaquin Perez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3976 Issued in AZ

Practice address

535 N Wilmot Rd Ste 201
Tucson, AZ 85711-2629

Phone

(520) 343-1777

Fax

(520) 694-2185

NPI assigned

Nov 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B-Umg Integrated Health Clinic LLCGroup PAC ID 3577831494, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• B--Umg Integrated Health Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1043758816
  Medicare reassignment Care Compare group NPD
• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427
  Medicare reassignment NPD
• Banner-University Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1922820935
  NPD
• Stepping Up Pediatric Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1558426825
  NPD (past)
• Sunnyside Unified School District No. 12

  • Local Education Agency (LEA)
  • Tucson, AZ
  • NPI 1740378397
  NPD (past)

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

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104071471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112629",
            "telephone_number": "520-343-1777",
            "fax_number": "520-694-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112629",
            "telephone_number": "520-343-1777",
            "fax_number": "520-694-2185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2238 E. Ginter Road",
            "address_2": "Sunnyside Unified School District No. 12",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85706",
            "country_code": "US",
            "telephone_number": "520-545-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GUSTAVO",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3976",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "3976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Perez
• Elvira Perez
• Felipe Reyes Perez, M.D.
• Frank J Perez, SLP
• Gustavo Adolfo Perez, PHARM.D., BC-ADM
• Hilda Perez
• Janette Perez
• Kiley Rayna Perez, MED, BCBA, LBA
• Lena Perez, FNP
• Marisa Camacho Perez

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.