Individual provider Active NPI

Patricia Walsh Perez, CNS

  • Adult Psychiatric/Mental Health Registered Nurse
  • East Setauket, NY
National Provider Identifier
1659440022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
245166-01 Issued in NY
Practice address
249 Route 25a
Suite 7
East Setauket, NY 11733-2921
Phone
(631) 751-6592
Fax
(631) 689-5170
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 245166-01 NY Primary

Addresses

Primary practice location

249 Route 25a
Suite 7
East Setauket, NY 11733-2921

Mailing address

PO Box 2862
East Setauket, NY 11733-2921
Phone (631) 751-6592

Other names 1

  • Ms. Patricia Walsh Perez Professional name

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
245166-01NYMDAdult Psychiatric/Mental Health Registered Nurse
245166NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659440022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2862",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332921",
            "telephone_number": "631-751-6592",
            "fax_number": "631-689-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ROUTE 25A",
            "address_2": "SUITE 7",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332921",
            "telephone_number": "631-751-6592",
            "fax_number": "631-689-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PATRICIA",
        "middle_name": "WALSH",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "245166-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "PEREZ",
            "middle_name": "WALSH",
            "prefix": "MS.",
            "credential": "CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Setauket, NY

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.

Verify at the official NPI Registry.