Individual provider Active NPI

Steven P Pera, PSY.D.

  • Clinical Psychologist
  • Tamarac, FL
National Provider Identifier
1457375636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5142 Issued in FL
Practice address
7431 N University Dr Ste 204
Tamarac, FL 33321-2956
Phone
(954) 720-7999
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PY5142 FL Primary

Addresses

Primary practice location

7431 N University Dr Ste 204
Tamarac, FL 33321-2956

Mailing address

7431 N University Dr Ste 204
Tamarac, FL 33321-2956
Phone (954) 720-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081007000241 FL Practitioner - Clinical Psychologist 9537237326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3411 SW 26 Court
Fort Lauderdale, FL 33312

3411 SW 26TH CT
Fort Lauderdale, FL 33312-4770

7431 N University Dr
Suite 204
Tamarac, FL 33321-2956
Phone (954) 328-5219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY5142FLMDClinical Psychologist
0005142FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steven P Pera Psy D P a Clinical CurrentSince Sep 10, 2007 Accepting new patients

Locations

7431 N University Dr
Ste 204
Tamarac, FL 33321
Phone (954) 328-5219

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457375636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-720-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-720-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERA",
        "first_name": "STEVEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.