Perossa Psychiatric Practice PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

PEROSSA PSYCHIATRIC PRACTICE PLLC

Practice address

5601 Smetana Dr
Hopkins, MN 55343-5000

Phone

(865) 737-6772

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruno Perossa, MDNPI 1346657889

Title

Psychiatrist

Phone

(865) 737-6772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruno Aldo Perossa

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1346657889

  Child & Adolescent Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1245931211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 410 #305330",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "865-737-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SMETANA DR",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553435000",
            "telephone_number": "865-737-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEROSSA PSYCHIATRIC PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "PEROSSA",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "865-737-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Autism & Communication Therapy Institute, Inc. (PACT Institute)
• Pehringer Audiological Inc (Hearing Solutions Group)
• Kaitlyn Penna, CMT
• Perfect Care Assiociates
• Mary Bergerud Perkins, LICSW
• Abby L Peterfeso, LPCC, LPC
• Taylor Marie Petersen, M.A., CCC-SLP
• Broderick Alan Peterson, D.C.
• Ryan Peterson
• Kurt T Pfaff, AU.D.

• Child & Adolescent Psychiatry Physician in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Child & Adolescent Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.