Active NPI
Joseph M Peraino, PHD
- Clinical Psychologist
- Highlands Ranch, CO
National Provider Identifier
1437166089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3396
- Practice address
- 9090 Ridgeline Blvd
Ste 220
Highlands Ranch, CO 80129-2505 - Phone
- (713) 666-1743
- Fax
- (281) 496-4648
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3396 | CO | Primary |
Addresses
Primary practice location
9090 Ridgeline Blvd
Ste 220
Highlands Ranch, CO 80129-2505
Mailing address
9090 Ridgeline Blvd
Ste 220
Highlands Ranch, CO 80129-2505
Phone (713) 666-1743
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3396 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1437166089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 RIDGELINE BLVD",
"address_2": "STE 220",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292505",
"telephone_number": "713-666-1743",
"fax_number": "281-496-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 RIDGELINE BLVD",
"address_2": "STE 220",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292505",
"telephone_number": "713-666-1743",
"fax_number": "281-496-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAINO",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.