Roger Perez, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY23295 Issued in CA

Practice address

26440 La Alameda
Ste 220
Mission Viejo, CA 92691-6304

Phone

(949) 371-3574

Fax

(858) 312-8460

NPI assigned

Jan 26, 2010

Last updated

Jan 26, 2010By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joanne M. Hamilton Psychologist a Professional Corporation

  • Clinical Neuropsychologist
  • San Diego, CA
  • NPI 1144428467
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1225369549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26552 BRANDON",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924193",
            "telephone_number": "949-371-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA",
            "address_2": "STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916304",
            "telephone_number": "949-371-3574",
            "fax_number": "858-312-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY23295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Pena, PPS, TEACHING CREDEN
• Jackson W Penry, MD
• Jennifer Silva Pentz, LMFT
• Donald Robert Pereslete, DDS
• Damian Perez
• Jarvis Maleek Perkins
• Sharone Perlman, NP
• Zachary James Perry
• Heather Susan Persons, AMFT
• Julia Junn Persons, DNP, FNP-C

• Clinical Neuropsychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.