Active NPI
Alicia Perry, PH.D.
- Clinical Psychologist
- Daphne, AL
National Provider Identifier
1306848361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1394
- Practice address
- 28311 N Main St
Ste 100
Daphne, AL 36526-7074 - Phone
- (251) 625-6233
- Fax
- (251) 625-1482
- NPI assigned
- Jun 2, 2005
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1394 | AL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3665 | MD |
Addresses
Primary practice location
28311 N Main St
Ste 100
Daphne, AL 36526-7074
Mailing address
11541 County Road 1
Fairhope, AL 36532-5943
Phone (251) 625-6233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293890 | Other | MD | MAMSI |
| 51534800 | Other | AL | BCBSOF AL |
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 |
|---|---|---|---|
| 3665 | MD | MD | Clinical Child & Adolescent Psychologist |
| 1394 | AL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306848361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11541 COUNTY ROAD 1",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365325943",
"telephone_number": "251-625-6233",
"fax_number": "251-625-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28311 N MAIN ST",
"address_2": "STE 100",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267074",
"telephone_number": "251-625-6233",
"fax_number": "251-625-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ALICIA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1394",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "3665",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "293890",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSOF AL",
"identifier": "51534800",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.