Individual provider Active NPI

Alicia Perry, PH.D.

  • Clinical Psychologist
  • Daphne, AL
National Provider Identifier
1306848361
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1394 Issued in AL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
293890OtherMDMAMSI
51534800OtherALBCBSOF 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

LicenseStateTypeSpecialty
3665MDMDClinical Child & Adolescent Psychologist
1394ALMDMedical 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.

Verify at the official NPI Registry.