Active NPI
Elliottnell Perez
- Clinical Neuropsychologist
- Orlando, FL
National Provider Identifier
1184452658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY13340
- Practice address
- 32 W Gore St FL 5
Orlando, FL 32806-1134 - Phone
- (321) 841-3820
- Fax
- (321) 843-6836
- NPI assigned
- Jul 25, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY13340 | FL | Primary |
Addresses
Primary practice location
32 W Gore St FL 5
Orlando, FL 32806-1134
Mailing address
32 W Gore St FL 5
Orlando, FL 32806-1134
Phone (321) 841-3820
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008991 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1184452658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W GORE ST FL 5",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061134",
"telephone_number": "321-841-3820",
"fax_number": "321-843-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W GORE ST FL 5",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061134",
"telephone_number": "321-841-3820",
"fax_number": "321-843-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ELLIOTTNELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-25",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY13340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.