Organization Active NPI

Greg Perri

  • Clinical Neuropsychologist
  • Louisville, KY
National Provider Identifier
1316550155
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GREG PERRI
Practice address
3420 Stony Spring Cir
Louisville, KY 40220-5436
Phone
(502) 387-9945
NPI assigned
Aug 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Greg Perri
Title
Owner
Phone
(502) 387-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

3420 Stony Spring Cir
Louisville, KY 40220-5436

Mailing address

3420 Stony Spring Cir
Louisville, KY 40220-5436
Phone (502) 387-9945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200916002020 KY Part B Supplier - Clinic/Group Practice 8123446572 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY; Glasgow, KY

National Provider Directory

National Provider Directory

Locations

102 W Front St
Glasgow, KY 42141
Phone (270) 202-8669

3420 Stony Spring Cir
Louisville, KY 40220
Phone (502) 387-9945

120 Webster St
Louisville, KY 40206
Phone (502) 387-9945

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1316550155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205436",
            "telephone_number": "502-387-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205436",
            "telephone_number": "502-387-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG PERRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-30",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "PERRI",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-387-9945"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.