Active NPI
Isabel M Perez, EDS, LMHC
- Psychologist
- Miami, FL
National Provider Identifier
1497999429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SS708
- Practice address
- 9700 SW 24 St
Miami, FL 33165 - Phone
- (305) 505-3714
- NPI assigned
- Apr 21, 2009
- Last updated
- Apr 21, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9815 | FL | |
| Psychologist | 103T00000X | SS708 | FL | Primary |
Addresses
Primary practice location
9700 SW 24 St
Miami, FL 33165
Mailing address
P.O. Box 557924
Miami, FL 33155
Phone (305) 505-3714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9815 | FL | MD | Mental Health Counselor |
| SS708 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Awakenings P.a. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1659515682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1497999429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 557924",
"city": "MIAMI",
"state": "FL",
"postal_code": "33155",
"telephone_number": "305-505-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 SW 24 ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "305-505-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ISABEL",
"middle_name": "M",
"credential": "EDS, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9815",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "SS708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.