Rosalia Noemi Pereyra, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3666 Issued in AZ

Practice address

3507 N Central Ave Ste 101
Phoenix, AZ 85012-2121

Phone

(602) 314-4475

Fax

(602) 680-3318

NPI assigned

Aug 11, 2006

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rosalia Noemi Pereyra

  dba Corazon Psychological Services

  • Psychologist
  • Phoenix, AZ
  • NPI 1184212086
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1396756490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 S 19TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484164",
            "telephone_number": "602-314-4475",
            "fax_number": "602-680-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N CENTRAL AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122121",
            "telephone_number": "602-314-4475",
            "fax_number": "602-680-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 N 16th St Ste G",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205253",
            "country_code": "US",
            "telephone_number": "602-314-4475",
            "fax_number": "602-368-3424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREYRA",
        "first_name": "ROSALIA",
        "middle_name": "NOEMI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "137245",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137245",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11725808",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizzette Peregrina
• Jennifer Kathryn Pereira, PHD, LPC, RPT-S,
• Keith Pereira, MD
• Anushka Lakmali Perera, M.D.
• Liliana Pereyra
• Felicia Perez Canez, MSN, PMHNP-BC
• Nayani Lizeth Perez Corrales
• Diana B Perez Diarte
• Teresa Perez Garcia
• Alejandra Perez Valdez

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.