Perfect Unity Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PERFECT UNITY BEHAVIORAL HEALTH LLC

Practice address

3500 Cane Run Rd
Louisville, KY 40211-1919

Phone

(502) 554-4100

Fax

(502) 632-1432

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By 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

Jacqueline Sanders

Title

Credentialing Manager

Phone

(502) 630-2036

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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.

• Marcia Elise McGinnis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1104161116
  Medicare reassignment NPD

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1245988401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CANE RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111919",
            "telephone_number": "502-554-4100",
            "fax_number": "502-632-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CANE RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111919",
            "telephone_number": "502-554-4100",
            "fax_number": "502-632-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT UNITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100241950",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "medcoding2021@gmail.com",
            "affiliation": "N",
            "address_1": "3500 Cane Run Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402111919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos A Perez, DMD
• Jessica Raquel Perez, MSN, APRN, FNP-BC
• Madison Perez, M.S.
• Marcella Denise Perez, M.D.
• Shannon R Perez, IBCLC, RLC
• Perfect X Services LLC
• Danielle Renee Periago, DMD
• Perinatal Princess Group Therapy
• Perinatal Princess PLLC (Perinatal Princess)
• Periodontal Care & Implant Center

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.