Active NPI
Lynne Ellen Perry, PHD
- Clinical Psychologist
- Upland, CA
National Provider Identifier
1598880700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7788
- Practice address
- 225 N Euclid Blvd
Upland, CA 91286 - Phone
- (909) 519-2787
- Fax
- (909) 596-1809
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY7788 | CA | Primary |
Addresses
Primary practice location
225 N Euclid Blvd
Upland, CA 91286
Mailing address
1407 West Foothill Blvd
Suite 32
La Verne, CA 91750
Phone (909) 519-2787
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7788 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598880700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 WEST FOOTHILL BLVD",
"address_2": "SUITE 32",
"city": "LA VERNE",
"state": "CA",
"postal_code": "91750",
"telephone_number": "909-519-2787",
"fax_number": "909-596-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N EUCLID BLVD",
"city": "UPLAND",
"state": "CA",
"postal_code": "91286",
"telephone_number": "909-519-2787",
"fax_number": "909-596-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LYNNE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.