Active NPI
Roxie Robin Persi, PSY.D.
- Clinical Psychologist
- Brea, CA
National Provider Identifier
1225149453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15829
- Practice address
- 242 S Orange Ave
Suite 202
Brea, CA 92821 - Phone
- (714) 985-0390
- Fax
- (714) 672-9405
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 Psychologist | 103TC0700X | PSY15829 | CA | Primary |
Addresses
Primary practice location
242 S Orange Ave
Suite 202
Brea, CA 92821
Mailing address
151 N Kraemer Blvd Ste 222
Placentia, CA 92870-5097
Phone (714) 985-0390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15829 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527292800000",
"number": "1225149453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N KRAEMER BLVD STE 222",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705097",
"telephone_number": "714-985-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 S ORANGE AVE",
"address_2": "SUITE 202",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-985-0390",
"fax_number": "714-672-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSI",
"first_name": "ROXIE",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2018-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.