Individual provider Active NPI

Lila Pereira, PHD

  • Clinical Psychologist
  • Valhalla, NY
National Provider Identifier
1679822332
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022617 Issued in NY
Practice address
Maria Fareri Childrens Hospital
100 Woods Rd
Valhalla, NY 10595
Phone
(914) 493-7997
NPI assigned
Sep 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 022617 NY Primary

Addresses

Primary practice location

Maria Fareri Childrens Hospital
100 Woods Rd
Valhalla, NY 10595

Mailing address

Boston Childrens Health Physicians
Suite 800S
Hawthorne, NY 10593
Phone (914) 493-7997

Other practice location 1

2500 MetroHealth Drive
Cleveland, OH 44109-1998
Phone (216) 778-4486

Other practice location 2

Boston Childrens Health Physicians
Suite 800s
Hawthorne, NY 10593
Phone (914) 493-7997

Other names 1

  • Lila Pereira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190724002698 NY Practitioner - Clinical Psychologist 0941536254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Children'S Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

19 Bradhurst Ave
Suite 800
Hawthorne, NY 10532-2198
Phone (914) 493-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
022617NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP CurrentSince Jul 1, 2019 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jul 1, 2019 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

19 Bradhurst Ave
Ste 800
Hawthorne, NY 10532
Phone (914) 593-8850

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1679822332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOSTON CHILDRENS HEALTH PHYSICIANS",
            "address_2": "SUITE 800S",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10593",
            "telephone_number": "914-493-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARIA FARERI CHILDRENS HOSPITAL",
            "address_2": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 MetroHealth Drive",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091998",
            "country_code": "US",
            "telephone_number": "216-778-4486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Boston Childrens Health Physicians",
            "address_2": "Suite 800s",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "10593",
            "country_code": "US",
            "telephone_number": "914-493-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "LILA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-09",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILA",
            "last_name": "PEREIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.