Individual provider Active NPI

Anne Perry, PSYD

  • Clinical Psychologist
  • Los Gatos, CA
National Provider Identifier
1427343714
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24245 Issued in CA
Practice address
15047 Los Gatos Blvd
Suite 200
Los Gatos, CA 95032-2054
Phone
(408) 364-6799
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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 24245 CA Primary

Addresses

Primary practice location

15047 Los Gatos Blvd
Suite 200
Los Gatos, CA 95032-2054

Mailing address

15047 Los Gatos Blvd
Suite 200
Los Gatos, CA 95032-2054
Phone (408) 364-6799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227000130 CO Practitioner - Clinical Psychologist 2062681372 Reassigns benefits to 1 organization
Practice locations: Golden, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Focus UpwardGroup PAC ID 0143613786, 4 clinicians

Practice addresses (Care Compare)

12600 W Colfax Ave
Suite A100
Lakewood, CO 80215-3787
Phone (720) 446-6082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Upward CurrentSince Aug 10, 2021 Accepting new patients
Anne Perry & Associates Clinical Past Accepting new patients

Locations

12600 W Colfax Ave
Ste A100
Lakewood, CO 80215
Phone (720) 446-6082

Organizations & group practices 2

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1427343714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD",
            "address_2": "SUITE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322054",
            "telephone_number": "408-364-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD",
            "address_2": "SUITE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322054",
            "telephone_number": "408-364-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.