Active NPI
Alix Perez, M.A
- Marriage & Family Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1885 Lundy Ave Ste 223
San Jose, CA 95131-1888 - Phone
- (408) 284-9000
- NPI assigned
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Mailing address
1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Phone (408) 284-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
135 Pinelawn Rd
Suite 204N
Melville, NY 11747-3163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services of California, PC | Current | Accepting new patients | |
| Darrell Broaddus Psychological Services PC | Past | Accepting new patients |
Locations
9730 Backer Ranch Rd
Elk Grove, CA 95757
Phone (833) 667-1103
1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
245 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 325-3780
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Murrieta, CA
- NPI 1093173742
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1568860476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 LUNDY AVE STE 223",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311888",
"telephone_number": "408-284-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 LUNDY AVE STE 223",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311888",
"telephone_number": "408-284-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ALIX",
"credential": "M.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.