Active NPI
Sara M Perez, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1336247998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012773-1
- Practice address
- 803 Blake Ave
Brooklyn, NY 11207-4802 - Phone
- (718) 283-1900
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 012773-1 | NY | Primary |
Addresses
Primary practice location
803 Blake Ave
Brooklyn, NY 11207-4802
Mailing address
803 Blake Ave
Brooklyn, NY 11207-4802
Phone (718) 283-1921
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 |
|---|---|---|---|
| 012773-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336247998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 BLAKE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112074802",
"telephone_number": "718-283-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 BLAKE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112074802",
"telephone_number": "718-283-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SARA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012773-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.