Individual provider Active NPI

Christina Perez

  • Community/Behavioral Health Agency
  • Bristol, CT
National Provider Identifier
1578926432
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
225 N Main St
Suite 106
Bristol, CT 06010-4926
Phone
(860) 585-4300
NPI assigned
Mar 29, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

225 N Main St
Suite 106
Bristol, CT 06010-4926

Mailing address

223 Lowrey PL
Apt. 3
Newington, CT 06111-3008
Phone (860) 385-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304000256 CT Practitioner - Marriage and Family Therapist 9739524521 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2039CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Jan 21, 2024 Accepting new patients
Lemay & Associates LLC Community/Behavioral Health CurrentSince Aug 17, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Jan 21, 2024 Accepting new patients

Locations

225 N Main St
Ste 106
Bristol, CT 06010
Phone (860) 585-4300

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

97 South St
Ste 105
West Hartford, CT 06110
Phone (860) 461-0504

Interoperability endpoints

  • Direct secure messaging: christina.perez.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1578926432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 LOWREY PL",
            "address_2": "APT. 3",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113008",
            "telephone_number": "860-385-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST",
            "address_2": "SUITE 106",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104926",
            "telephone_number": "860-585-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.