Casey Perisin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05828 Issued in MD

Practice address

7960 Old Georgetown Rd Ste 10B
Bethesda, MD 20814-2445

Phone

(301) 718-4544

NPI assigned

Sep 21, 2016

Sex

Female

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

Opted out of Medicare

Yes, effective Jul 15, 2022 through Jul 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Path Psychological Services

  • Adult Mental Health Clinic/Center
  • Normal, IL
  • NPI 1962144279
  NPD Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1366990129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 OLD GEORGETOWN RD STE 10B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 OLD GEORGETOWN RD STE 10B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142445",
            "telephone_number": "301-718-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERISIN",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana A Perez, DC
• Camille Francis Perez, PT, BPT
• David a Perez, DNP, CRNP, AGPCNP-BC
• Margarita Perez, M.S. CCC-SLP
• Thomas Hilario Perez, M.P.H., M.A., R.PH.
• Elizabeth Marx Perkins, MD
• Jeremy Goodrich Perkins, M.D.
• Jonathan Nathaniel Perkins, DO
• Katherine Freeman Perkins, CRNP
• Harold Ira Perl, PHD

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.