Individual provider Active NPI

Gloridel Feliciano Perez, PHD

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1407438773
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94025944 Issued in CA
Practice address
2001 E 4TH St Ste 200205
Santa Ana, CA 92705-3916
Phone
(714) 824-8140
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB94025944 CA Primary

Addresses

Primary practice location

2001 E 4TH St Ste 200205
Santa Ana, CA 92705-3916

Mailing address

2600 Redhill Ave RM 303
Santa Ana, CA 92705-5517
Phone (787) 219-3873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212002214 CA Practitioner - Psychologist Billing Independently 9830679521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Psychological Services, Inc.Group PAC ID 2769747179, 8 clinicians

Practice addresses (Care Compare)

1400 Quail St
Suite 136
Newport Beach, CA 92660-2788
Phone (949) 385-2775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSB94025944CAMDClinical Psychologist
36425CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Psychological Services, Inc. Clinical CurrentSince Dec 1, 2025 Accepting new patients

Locations

1400 Quail St
Ste 136
Newport Beach, CA 92660
Phone (949) 385-2775

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1407438773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 REDHILL AVE RM 303",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055517",
            "telephone_number": "787-219-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 200205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "714-824-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO PEREZ",
        "first_name": "GLORIDEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94025944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.