Active NPI
Catalina Perez-Lacey, M.D.
- Child & Adolescent Psychiatry Physician
- Santa Fe, NM
National Provider Identifier
1700971207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 88243
- Practice address
- 7 Casa del Oro Way
Santa Fe, NM 87508-8290 - Phone
- (505) 466-8428
- Fax
- (505) 466-8428
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 88243 | NM | Primary |
Addresses
Primary practice location
7 Casa del Oro Way
Santa Fe, NM 87508-8290
Mailing address
3439 NE Sandy Blvd
PMB #375
Portland, OR 97232-1959
Phone (503) 284-8841
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450 | Other | NM | BCBS |
| 16576 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88243 | NM | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bila Ashdla LLC | Past | Accepting new patients |
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.
-
- Specialist
- Santa Fe, NM
- NPI 1316086838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1700971207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 NE SANDY BLVD",
"address_2": "PMB #375",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959",
"telephone_number": "503-284-8841",
"fax_number": "503-282-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CASA DEL ORO WAY",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088290",
"telephone_number": "505-466-8428",
"fax_number": "505-466-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-LACEY",
"first_name": "CATALINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NM",
"license": "88243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0450",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16576",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.