Laurence Peter Perotti, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-2336 Issued in TX

Practice address

Brooke Army Medical Center
3551 Roger Brooke Dr.
Ft. Sam Houston, TX 78234

Phone

(210) 539-9567

Fax

(210) 539-6467

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Laurence P. Perotti, PH.D. P.C.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1982745592
  NPD (past) Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1184601544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 BENTWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171705",
            "telephone_number": "210-310-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR.",
            "city": "FT. SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-539-9567",
            "fax_number": "210-539-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROTTI",
        "first_name": "LAURENCE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-2336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "000000G497",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Perez, RN CASE MANAGER
• Ernest James Perez, NP
• Valerie Perez
• Shreeman Pericherla, MD
• Jessica Perkins, ARNP
• Daniel Lee Perrault, M.D.
• Jessa Perry, NP
• Ron Wayne Perry, PA
• Tanya Denise Perry, LCSW
• William L Perry, DPT

• Clinical Psychologist in Ft. Sam Houston, TX
• Providers in Ft. Sam Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.