Individual provider Active NPI

David Anthony Perna, PH.D.

  • Psychologist
  • Newton, MA
National Provider Identifier
1447460746
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7172 Issued in MA
Practice address
44 Thornton St
Newton, MA 02458-1532
Phone
(617) 431-1441
Fax
(617) 244-2774
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7172 MA Primary

Addresses

Primary practice location

44 Thornton St
Newton, MA 02458-1532

Mailing address

44 Thornton St
Newton, MA 02458-1532
Phone (617) 431-1441

Other identifiers 2

IdentifierTypeStateIssuer
W05592OtherMABLUE CROSS BLUE SHIELD MA
0004749OtherMAVALUE OPTIONS UPS

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7172MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davinci Behavioral Health CurrentSince Jul 17, 2021 Accepting new patients

Locations

35 Bedford St
Ste 8
Lexington, MA 02420
Phone (617) 431-1441

44 Thornton St
Newton, MA 02458
Phone (617) 244-2700

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1447460746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 THORNTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581532",
            "telephone_number": "617-431-1441",
            "fax_number": "617-244-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 THORNTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581532",
            "telephone_number": "617-431-1441",
            "fax_number": "617-244-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "W05592",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS UPS",
            "identifier": "0004749",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.