Active NPI
Caroline Perez, PH.D
- Health Service Psychologist
- San Antonio, TX
National Provider Identifier
1619797933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 40155
- Practice address
- 9939 State Highway 151
San Antonio, TX 78251-1900 - Phone
- (210) 993-2064
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 40155 | TX | Primary |
Addresses
Primary practice location
9939 State Highway 151
San Antonio, TX 78251-1900
Mailing address
8018 Ferndale Oaks
San Antonio, TX 78249-3895
Phone (561) 945-2594
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 |
|---|---|---|---|
| 40155 | TX | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1619797933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8018 FERNDALE OAKS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493895",
"telephone_number": "561-945-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 STATE HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511900",
"telephone_number": "210-993-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CAROLINE",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "TX",
"license": "40155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.