Gabrielle Joan Pereira, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MD01406 Issued in MD

Practice address

204 East Joppa Road
Penthouse 14a
Towson, MD 21286-3118

Phone

(410) 296-3281

Fax

(410) 833-3914

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669502290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 EAST JOPPA ROAD",
            "address_2": "HAMPTON HOUSE BUILDING PENTHOUSE 14A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863118",
            "telephone_number": "410-296-3281",
            "fax_number": "410-833-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EAST JOPPA ROAD",
            "address_2": "PENTHOUSE 14A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863118",
            "telephone_number": "410-296-3281",
            "fax_number": "410-833-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "GABRIELLE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "MD01406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G704",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T187",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Yeager Pelatti
• Mark Pellowski, PH.D., CCC-SLP
• Thomas M Pembroke, MD
• Gregory Penczek, MS, LAT, ATC
• Ely Roman Peralta, LCSW-C, LICSW, LCSW
• Karen Zena B Pereira, PT
• Laura A Perell, D.D.S.
• Dashira Perez Ramirez
• Marvin Omar Perez-Vega
• Brian Perez, M.S, LAT, ATC

• Psychologist in Towson, MD
• Providers in Towson, MD by specialty
• Psychologist in Maryland

• 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.