James R Perlstrom, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810002163 Issued in VA

Practice address

2235 Cedar LN
Ste 202
Vienna, VA 22182-5247

Phone

(703) 752-7881

Fax

(703) 752-7880

NPI assigned

Oct 2, 2006

Last updated

Dec 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sleep Disorders CTRS of the Mid Atlantic LLCGroup PAC ID 2264413137, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Fairfax, VA
  • NPI 1770753469

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Rockville, MD
  • NPI 1730359423
  NPD Authorized official
• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Specialist
  • Vienna, VA
  • NPI 1689767683
  Authorized official Same address or phone
• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Manassas, VA
  • NPI 1871763490
  NPD (past) Authorized official
• Abba Enterprises LLC

  • Clinical Psychologist
  • Rockville, MD
  • NPI 1346507332
  NPD (past) Authorized official
• Sleep Disorders CTRS of the Mid Atlantic LLC

  dba Sdcma

  • Specialist
  • Glen Burnie, MD
  • NPI 1164759858
  NPD (past) Authorized official
• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Annapolis, MD
  • NPI 1538339221
  NPD (past) Authorized official
• 1St Class Sleep Diagnostic Center Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Centreville, VA
  • NPI 1265518005
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1760575765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "STE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLSTROM",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002163",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03368",
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "VA",
            "license": "0810002163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Margaret Pennant, LPC, NCC, CSAC, CP
• Alyssa Perez
• Lala-Marie Perez, LMSW
• Kerstin Perini, LPC
• Samantha Conte Perlstein, PHD
• Christa Rose Perry, LCSW
• Susan M Perry, LCSW
• Kathy Pesavento, PT
• Yvoune Kara Petrie, DC
• Pham, Biga & Maloney, PLLC

• Psychologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.

Verify at the official NPI Registry.