Active NPI
Stephen Michael Perret, M.D.
- Child & Adolescent Psychiatry Physician
- Glen Oaks, NY
National Provider Identifier
1699989145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 247565
- Practice address
- 7559 263Rd St
Child Psychiatry Ambulatory Care Building
Glen Oaks, NY 11004-1150 - Phone
- (718) 635-2204
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 247565 | NY | Primary |
Addresses
Primary practice location
7559 263Rd St
Child Psychiatry Ambulatory Care Building
Glen Oaks, NY 11004-1150
Mailing address
7559 263Rd St
Child Psychiatry Ambulatory Care Building
Glen Oaks, NY 11004-1150
Phone (718) 635-2204
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Post Ave
Suite 307
Westbury, NY 11590-2226
Phone (718) 635-2204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Long Island Corp | Current | Accepting new patients |
Locations
400 Post Ave
Ste 307
Westbury, NY 11590
Phone (718) 635-2204
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Westbury, NY
- NPI 1043783244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1699989145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"address_2": "CHILD PSYCHIATRY AMBULATORY CARE BUILDING",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041150",
"telephone_number": "718-635-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"address_2": "CHILD PSYCHIATRY AMBULATORY CARE BUILDING",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041150",
"telephone_number": "718-635-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRET",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "247565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.