Sidney Tyrone Perkins, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

165712 Issued in OH

Practice address

3030 Euclid Ave Ste 312
Cleveland, OH 44115-2518

Phone

(216) 391-0977

Fax

(216) 391-0978

NPI assigned

Mar 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1568964906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16321 LORAIN AVE APT 504",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115548",
            "telephone_number": "216-391-0977",
            "fax_number": "216-391-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 EUCLID AVE STE 312",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152518",
            "telephone_number": "216-391-0977",
            "fax_number": "216-391-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "SIDNEY",
        "middle_name": "TYRONE",
        "name_prefix": "Mr.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "165712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Anthony Perkins, M.D.
• India S Perkins
• Kalece Perkins
• Rachelle Perkins
• Sharonda Perkins
• Victress Renee Perkins
• Zoe M. Beetler Perkins
• Stefania Perkinson, LMT
• Lori Perko-Waryk, PTA
• Benjamin Perko

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.