Dr. Gary R. Perrin, P.a.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP 305 Issued in MN

Legal business name

DR. GARY R. PERRIN, P.A.

Practice address

527 Marquette Ave
Ste. 1620
Minneapolis, MN 55402-1302

Phone

(612) 317-0665

Fax

(612) 317-1017

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gary Ray Perrin, PHD, LPNPI 1114024783

Title

President

Phone

(612) 317-0665

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Ray Perrin, PHD

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1114024783
  NPD (past) Authorized official

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1376813584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MARQUETTE AVE",
            "address_2": "STE. 1620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021302",
            "telephone_number": "612-317-0665",
            "fax_number": "612-317-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MARQUETTE AVE",
            "address_2": "STE. 1620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021302",
            "telephone_number": "612-317-0665",
            "fax_number": "612-317-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY R. PERRIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-317-0665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP 305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.