Migna Perez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14213 Issued in CT

Practice address

544 Straits Tpke Ste 3
Watertown, CT 06795-3340

Phone

(203) 707-4345

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindfulness & Healing Behavioral Health, LLC

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1497633176

  Clinical

  NPD Authorized official
• Safe Harbor Christian Counseling of Connecticut, LLC

  • Community/Behavioral Health Agency
  • Trumbull, CT
  • NPI 1245467398
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1609508449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FULKERSON DR APT 35",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081442",
            "telephone_number": "203-707-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 STRAITS TPKE STE 3",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953340",
            "telephone_number": "203-707-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MIGNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles A. Opsahl, PH.D.
• Opticare Eye Health Centers, Inc.
• Pamela D Siemon LCSW LLC
• Ryan Partridge, DPT
• Sanjay Patel, RPH
• Roland J Perreault, PT
• Patricia E Pescetelli, MS SLP CCC
• Alyssa Pesino, APRN
• Marcie Lyn Petrucci, COTA
• Physiotherapy Associates Inc

• All providers in Watertown, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.