Gary Ray Perrin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP305 Issued in MN

Practice address

527 Marquette Ave
Suite 1620
Minneapolis, MN 55402-1302

Phone

(612) 317-0665

Fax

(612) 317-1017

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dr. Gary R. Perrin, P.a.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1376813584
  NPD (past) Authorized official

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114024783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MARQUETTE AVE",
            "address_2": "SUITE 1620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021302",
            "telephone_number": "612-317-0665",
            "fax_number": "612-317-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MARQUETTE AVE",
            "address_2": "SUITE 1620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021302",
            "telephone_number": "612-317-0665",
            "fax_number": "612-317-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "GARY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruno Aldo Perossa
• Joseph H Perra, MD
• Jake Lee Perrault, RRT
• Kristin Lynn Perrault, SLP
• Robert Thomas Perri, MD
• Bonita Perrine, NURSE PRACTITIONER
• Kelly Jade Perro, MSN, APRN, PMHNP-BC
• Diane Perron, REGISTERED NURSE
• Susan Margret Perron, RN
• Anne-Marie Perry, PA-C

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.