Active NPI
Ada Robinson-Perez, PHD
- Social Worker
- Endwell, NY
National Provider Identifier
1265144034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 06858
- Practice address
- 3001 E Main St
Endwell, NY 13760-5843 - Phone
- (607) 754-2660
- NPI assigned
- Dec 23, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 06858 | NY | Primary |
Addresses
Primary practice location
3001 E Main St
Endwell, NY 13760-5843
Mailing address
717 Ventura Blvd
Endicott, NY 13760-1625
Phone (607) 742-0762
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06858 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center of the Southern Tier Inc | Current | Accepting new patients |
Locations
3001 E Main St
Endwell, NY 13760
Phone (607) 754-2660
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Endicott, NY
- NPI 1467520080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1265144034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 VENTURA BLVD",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137601625",
"telephone_number": "607-742-0762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E MAIN ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137605843",
"telephone_number": "607-754-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON-PEREZ",
"first_name": "ADA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-23",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "06858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.