Ryan Julie Perisho, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1510 Fashion Island Blvd Ste 110
San Mateo, CA 94404-5043

Phone

(805) 556-7220

NPI assigned

Jun 23, 2015

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1568844843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944045043",
            "telephone_number": "805-556-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944045043",
            "telephone_number": "805-556-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERISHO",
        "first_name": "RYAN",
        "middle_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Norberto Perez Jr., PHYSICIAN ASSISTANT
• Leslie Perez, MS AND PPS
• Marta Julia Perez, LCSW
• Rocio Adriana Perez
• Thomas Perez
• Ashley B Perkins-Gentry
• James L Pertsch, M.D.
• Jennifer L Perzichilli, L.AC.
• Peter Ehrhorn Marriage and Family Therapy Professional Corporation
• Peter H Lam DDS Inc (Bay Meadows Orthodontics)

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.