Active NPI
Angela Perez, LMFT
- Marriage & Family Therapist
- Long Island City, NY
National Provider Identifier
1235371964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000178
- Practice address
- 2215 43Rd Ave
Long Island City, NY 11101-5018 - Phone
- (718) 389-5100
- Fax
- (718) 752-4809
- NPI assigned
- Mar 26, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000178 | NY | Primary |
Addresses
Primary practice location
2215 43Rd Ave
Long Island City, NY 11101-5018
Mailing address
2215 43Rd Ave
Long Island City, NY 11101-5018
Phone (718) 389-5100
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 |
|---|---|---|---|
| 000178 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1235371964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 43RD AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015018",
"telephone_number": "718-389-5100",
"fax_number": "718-752-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 43RD AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015018",
"telephone_number": "718-389-5100",
"fax_number": "718-752-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ANGELA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.