Individual provider Active NPI

Christopher Wilkinson Sato-Perry, PSYD

  • Psychologist
  • Menlo Park, CA
National Provider Identifier
1548829294
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY20638 Issued in CA
Practice address
1134 Crane St Ste 218
Menlo Park, CA 94025-4329
Phone
(650) 325-2341
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 PSY20638 CA Primary

Addresses

Primary practice location

1134 Crane St Ste 218
Menlo Park, CA 94025-4329

Mailing address

1134 Crane St Ste 218
Menlo Park, CA 94025-4329
Phone (650) 325-2341

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

State licenses

LicenseStateTypeSpecialty
PSY20638CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548829294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 CRANE ST STE 218",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254329",
            "telephone_number": "650-325-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 CRANE ST STE 218",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254329",
            "telephone_number": "650-325-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATO-PERRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILKINSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.