Robert Bruce Perna, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS1030 Issued in ME

Practice address

618 Main St
Lewiston, ME 04240-5935

Phone

(207) 795-6110

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Practice roles

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.

• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463
  NPD (past)
• Neurobehavioral Associates, LLC

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1386059251
  NPD (past)
• New Mercy Behavioral Health LLC

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1114480753
  NPD (past)
• Walton Innovations Inc.

  • Rehabilitation Hospital
  • Augusta, GA
  • NPI 1184818502
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366565681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PINEWOODS RD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401211",
            "telephone_number": "207-795-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-795-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Ann Pepin, M.S., R.D., L.D.
• Michelle Abigail Pepin, LPN
• Kristin Percy
• Amanda Perez, LMSW-CC
• Arabella Perez, LCSW
• Daniel McPherson Perry, PHYSICAL THERAPIST A
• Peter Siviski, MD
• William McFadden Peternel, D.O.
• Zoe Petit, LMSW-CC
• Phuong-Mai Pham

• Clinical Neuropsychologist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Clinical Neuropsychologist in Maine

• 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.

Verify at the official NPI Registry.