Maria Elena Perez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2932-57 Issued in WI

Practice address

1045 W Glen Oaks LN Ste 205
Mequon, WI 53092-3467

Phone

(262) 894-2658

Fax

(262) 378-3202

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Maria Elena Pagels Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• 16TH Street Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1417912999

  Psychologist

  Medicare reassignment NPD
• Waukesha County

  • Case Management Agency
  • Waukesha, WI
  • NPI 1740403146
  Medicare reassignment NPD
• Sixteenth Street Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1316587439

  Psychologist

  NPD
• Sixteenth Street Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1518092410

  Psychologist

  NPD
• Waukesha County

  • Mental Illness Community Based Residential Treatment Facility
  • Waukesha, WI
  • NPI 1477314854
  NPD
• Stream and Mountain, LLC

  • Clinical Psychologist
  • Wauwatosa, WI
  • NPI 1053102368
  NPD (past)
• Waukesha County

  • Case Management Agency
  • Waukesha, WI
  • NPI 1003930223
  NPD (past)
• Waukesha County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1033243340
  NPD (past)
• Waukesha County

  • Primary Care Clinic/Center
  • Waukesha, WI
  • NPI 1346364585
  NPD (past)
• Waukesha County

  • Psychiatric Hospital
  • Waukesha, WI
  • NPI 1407988892
  NPD (past)
• Waukesha County

  • Case Management Agency
  • Waukesha, WI
  • NPI 1831316371
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1619072170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W286S4785 WOODS RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899051",
            "telephone_number": "262-894-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W GLEN OAKS LN STE 205",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923467",
            "telephone_number": "262-894-2658",
            "fax_number": "262-378-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA ELENA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2932-57",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3816",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2932-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39714800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ELENA",
            "last_name": "PAGELS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra S Pearson, PT
• Terri Peckerman-Stein, MSW, LCSW
• Mary Kathryn Pelman, MS, LPC
• Julia Hinkle Penn, M.D.
• Lilani Priyadarshi Perera, MD
• Tabin Perez
• Melissa Perkins
• Amanda Christine Perlinski
• Persevering Solutions LLC
• Michael J Persten, RPH

• Clinical Psychologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.

Verify at the official NPI Registry.