Maria C Perez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014365 Issued in NY

Practice address

420 W 14TH St Ste 6NW
New York, NY 10014-1017

Phone

(212) 674-6444

Fax

(212) 674-6445

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• M Carmela Perez Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1689339285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20060",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100110001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 14TH ST STE 6NW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141017",
            "telephone_number": "212-674-6444",
            "fax_number": "212-674-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drperez@dynamicpsych.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "247 W 30th St Fl 10R",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100012824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "PEREZ",
            "middle_name": "CARMELA",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Marie Perez
• Luiza R Perez, MD
• Mabbel Estefania Perez, OTR
• Malachi Perez
• Marcelina Perez, MD
• Maribel Perez, LCSW
• Maximillian Vincent Perez, CASAC, MHC-LP
• Megan Perez
• Meghan Perez
• Melida Perez

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.