Active NPI
Jane E Perrin, PH.D.
- Clinical Psychologist
- Greensboro, NC
National Provider Identifier
1114031499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1102
- Practice address
- 3608 W Friendly Ave
Suite #208
Greensboro, NC 27410-4865 - Phone
- (336) 299-1115
- Fax
- (336) 299-5559
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1102 | NC | Primary |
Addresses
Primary practice location
3608 W Friendly Ave
Suite #208
Greensboro, NC 27410-4865
Mailing address
3608 W Friendly Ave
Suite #208
Greensboro, NC 27410-4865
Phone (336) 299-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04388 | Other | NC | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane E. Perrin, PH.D. | Past | 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.
-
- Psychologist
- Greensboro, NC
- NPI 1205056918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114031499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 W FRIENDLY AVE",
"address_2": "SUITE #208",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104865",
"telephone_number": "336-299-1115",
"fax_number": "336-299-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3608 W FRIENDLY AVE",
"address_2": "SUITE #208",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104865",
"telephone_number": "336-299-1115",
"fax_number": "336-299-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIN",
"first_name": "JANE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04388",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.