Individual provider Active NPI

Summer Nerissa Perry, PH.D, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1659471670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 20625 Issued in CA
Practice address
350 E California Blvd
118
Pasadena, CA 91106-3604
Phone
(626) 395-9490
Fax
(626) 395-9490
NPI assigned
Sep 22, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 20625 CA Primary
Marriage & Family Therapist 106H00000X LMFT 000724 GA

Addresses

Primary practice location

350 E California Blvd
118
Pasadena, CA 91106-3604

Mailing address

PO Box 1256
Sierra Madre, CA 91025-4256
Phone (626) 395-9490

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

LicenseStateTypeSpecialty
MFC 20625CAMDMarriage & Family Therapist
LMFT 000724GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659471670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1256",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910254256",
            "telephone_number": "626-395-9490",
            "fax_number": "626-395-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E CALIFORNIA BLVD",
            "address_2": "118",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063604",
            "telephone_number": "626-395-9490",
            "fax_number": "626-395-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SUMMER",
        "middle_name": "NERISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 20625",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LMFT 000724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, 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.

Verify at the official NPI Registry.