Erica Ann Perez, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36221 Issued in TX

Practice address

402 N Jackson Rd
Edinburg, TX 78541-2868

Phone

(956) 540-7510

Fax

(956) 787-2021

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Erica Perez Bonura Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erica Ann Perez, PHD, PCGroup PAC ID 0244588986, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Erica Ann. Perez, PHD. PC

  • Psychologist
  • Edinburg, TX
  • NPI 1659876803
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1356694145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785412868",
            "telephone_number": "956-540-7509",
            "fax_number": "956-560-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785412868",
            "telephone_number": "956-540-7510",
            "fax_number": "956-787-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W 1st St",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785892276",
            "country_code": "US",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310989-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "824130264",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310989-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310989-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BONURA",
            "middle_name": "PEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane Perez
• Eduardo Perez, LBSW
• Elisa Perez
• Eliza Perez, O.T.R.
• Elizabeth Perez, RPH
• Erika Yvette Perez, LPC
• Eros Perez, PSY D
• Evan Dustin Perez, M.D
• Felix Perez Jr., APRN PMHNP
• Francisco Perez, LBSW

• Psychologist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.