Erika Abigail Pereda, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39418 Issued in TX

Practice address

4615 Alameda Ave
El Paso, TX 79905-2702

Phone

(915) 215-5850

Fax

(915) 215-8657

NPI assigned

Jun 24, 2017

Sex

Female

Sole proprietor

No

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 TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Texas Tech University Health Sciences Center El Paso

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598705055
  Medicare reassignment Care Compare group NPD
• Texas Tech University Health Sciences Center El Paso

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1124047295
  NPD
• Texas Tech University Health Sciences Center El Paso

  • Neurological Surgery Physician
  • El Paso, TX
  • NPI 1457913444
  NPD
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1225251812
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1124548755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD EAST",
            "address_2": "MSC51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052702",
            "telephone_number": "915-215-5850",
            "fax_number": "915-215-8657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Laurel St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011634",
            "country_code": "US",
            "telephone_number": "619-233-4399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023976",
            "country_code": "US",
            "telephone_number": "915-215-6170",
            "fax_number": "915-215-8659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Transmountain Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799113602",
            "country_code": "US",
            "telephone_number": "915-215-8400",
            "fax_number": "915-612-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREDA",
        "first_name": "ERIKA",
        "middle_name": "ABIGAIL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max A. Peralta, M.D.
• Percy-Charles Medical Center, P.a.
• Marie Percy, M.D.
• Veronica Perdomo, RN
• Bianca Marie Perdue, RN
• Lisa Pereira-Wookee, FNP
• Jason Pereira
• Regina Pereyra
• Karla Perez Alcala
• Linyer Nicole Perez Moux, MD

• Clinical Psychologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.