Active NPI
Leah P. Perez, M.D.
- Psychiatry Physician
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20-22193
- Practice address
- 600 Monument St
Suite 224
Greenwood, SC 29646-2638 - Phone
- (864) 227-3908
- Fax
- (864) 227-2668
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20-22193 | SC | Primary |
Addresses
Primary practice location
600 Monument St
Suite 224
Greenwood, SC 29646-2638
Mailing address
600 Monument St
Suite 224
Greenwood, SC 29646-2638
Phone (864) 227-3908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221931 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone (630) 837-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-22193 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Streamwood Hospital Inc. | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Psychiatry | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
120 NE Glen Oak Ave
Ste 101
Peoria, IL 61603
Phone (309) 671-8230
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
900 Main St
Ste 500
Peoria, IL 61602
Phone (309) 637-3500
1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Streamwood Behavioral Health Center
- Psychiatric Hospital
- Streamwood, IL
- NPI 1619916822
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1144250473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MONUMENT ST",
"address_2": "SUITE 224",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462638",
"telephone_number": "864-227-3908",
"fax_number": "864-227-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MONUMENT ST",
"address_2": "SUITE 224",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462638",
"telephone_number": "864-227-3908",
"fax_number": "864-227-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LEAH",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "20-22193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221931",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.
- 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.