Yazmin Iris Perez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R077819-1 Issued in NY

Practice address

358 Saint Marks PL FL 4
Staten Island, NY 10301-2417

Phone

(732) 763-2884

NPI assigned

Sep 12, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yazmin P Licensed Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1821930165
  NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1720561996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ADA DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141416",
            "telephone_number": "732-763-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 SAINT MARKS PL FL 4",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012417",
            "telephone_number": "732-763-2884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103146625",
            "country_code": "US",
            "telephone_number": "732-763-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "YAZMIN",
        "middle_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R077819-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Anita Perez
• Perla Perez, SERVICE COORDINATOR
• Samantha Perez, PT,DPT
• Taina Yasmeen Perez, LMSW
• Thalia Perez
• Perfect Choice Ambulette, Inc.
• Marlena Catherine Perillo, OT
• William John Perillo, D.O
• Perinatal Diagnostic Centers of New York & New Jersey
• Perinatal Diagnostic Ultrasound, PLLC

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.