Individual provider Active NPI

Pamela S. Perkins, PSY.D.

  • Clinical Psychologist
  • Wake Forest, NC
National Provider Identifier
1336320993
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
102918 Issued in NC
Practice address
3401 Ventura Cir
Wake Forest, NC 27587-9390
Phone
(630) 441-0094
NPI assigned
Nov 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 102918 NC Primary
Health Service Psychologist 103TH0100X 102918 NC
Adult Development & Aging Psychologist 103TA0700X 102918 NC

Addresses

Primary practice location

3401 Ventura Cir
Wake Forest, NC 27587-9390

Mailing address

10580 Ligon Mill Rd
Ste 210
Wake Forest, NC 27587-6090
Phone (630) 441-0094

Other names 1

  • Ms. Pamela Vernace Strening Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000110 NC Practitioner - Clinical Psychologist 2961662838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perkins Counseling and Psychological Services, PLLCGroup PAC ID 6800052234, 11 clinicians

Practice addresses (Care Compare)

10580 Ligon Mill Rd
Suite 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102918NCMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins Counseling and Psychological Services, PLLC CurrentSince Jun 10, 2012 Accepting new patients
Perkins Partial Hospital Program, PLLC Current Accepting new patients

Locations

10580 Ligon Mill Rd
#210
Wake Forest, NC 27587
Phone (919) 263-9592

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1336320993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 LIGON MILL RD",
            "address_2": "STE 210",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "630-441-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 VENTURA CIR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879390",
            "telephone_number": "630-441-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "PAMELA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "102918",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "102918",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NC",
            "license": "102918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "STRENING",
            "middle_name": "VERNACE",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.