Active NPI
Ana Corina Perez, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1407512312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007334
- Practice address
- 122 E 64TH St # 1R
New York, NY 10065-7358 - Phone
- (212) 939-7200
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007334 | NY | Primary |
Addresses
Primary practice location
122 E 64TH St # 1R
New York, NY 10065-7358
Mailing address
122 E 64TH St # 1R
New York, NY 10065-7358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007334 | Other | NY | OFFICE OF THE PROFESSIONS |
Other names 1
- Cori Galdo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cori.galdo@seleni.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seleni House Foundation, Inc. | Mental Health | Past | Accepting new patients |
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": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1407512312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E 64TH ST # 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 64TH ST # 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657358",
"telephone_number": "212-939-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ANA",
"middle_name": "CORINA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF THE PROFESSIONS",
"identifier": "007334",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cori.galdo@seleni.org",
"affiliation": "N",
"address_1": "122 E 64th St # 1R",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100657358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CORI",
"last_name": "GALDO",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.