Active NPI
Mary Ann Perry, PH.D.
- Psychologist
- Pinecrest, FL
National Provider Identifier
1508077637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0005368
- Practice address
- 9769 S Dixie Hwy
Suite 102
Pinecrest, FL 33156-5600 - Phone
- (305) 666-3350
- NPI assigned
- May 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0005368 | FL | Primary |
Addresses
Primary practice location
9769 S Dixie Hwy
Suite 102
Pinecrest, FL 33156-5600
Mailing address
11070 Marin St
Coral Gables, FL 33156-4228
Phone (305) 668-2921
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005368 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508077637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11070 MARIN ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331564228",
"telephone_number": "305-668-2921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9769 S DIXIE HWY",
"address_2": "SUITE 102",
"city": "PINECREST",
"state": "FL",
"postal_code": "331565600",
"telephone_number": "305-666-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "0005368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.