Active NPI
Eros Perez, PSY D
- Clinical Neuropsychologist
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 38632
- Practice address
- 2808 Fountain Plaza Blvd
Edinburg, TX 78539-8031 - Phone
- (956) 665-8209
- NPI assigned
- Jan 5, 2021
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | 38632 | TX | Primary |
Addresses
Primary practice location
2808 Fountain Plaza Blvd
Edinburg, TX 78539-8031
Mailing address
501 E Camellia Ave Apt D132
McAllen, TX 78501-5679
Phone (305) 300-2534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 State St
Bangor, ME 04401-6630
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38632 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1144818170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E CAMELLIA AVE APT D132",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785015679",
"telephone_number": "305-300-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 FOUNTAIN PLAZA BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398031",
"telephone_number": "956-665-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "EROS",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "38632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.