Active NPI
Sylvia Brinton Perera, LP
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1750446977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 000636-1
- Practice address
- 153 East 87 St
Suite 5D
New York, NY 10128-2705 - Phone
- (212) 831-4885
- Fax
- (212) 831-4885
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 000636-1 | NY | Primary |
| Psychoanalysis Psychologist | 103TP0814X | 098-0000123 | VT |
Addresses
Primary practice location
153 East 87 St
Suite 5D
New York, NY 10128-2705
Mailing address
926 S Prospect St
Burlington, VT 05401
Phone (802) 658-3925
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000636-1 | NY | MD | Psychoanalysis Psychologist |
| 098-0000123 | VT | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750446977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 S PROSPECT ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-658-3925",
"fax_number": "802-658-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 EAST 87 ST",
"address_2": "SUITE 5D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282705",
"telephone_number": "212-831-4885",
"fax_number": "212-831-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERERA",
"first_name": "SYLVIA",
"middle_name": "BRINTON",
"name_prefix": "Ms.",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "000636-1",
"primary": true
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "VT",
"license": "098-0000123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.