Individual provider Active NPI

Terry Frances Perkins, PH.D.

  • Clinical Psychologist
  • Thousand Oaks, CA
National Provider Identifier
1790747095
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY5764 Issued in CA
Practice address
100 E Thousand Oaks Blvd Ste 180
Thousand Oaks, CA 91360-8113
Phone
(805) 499-2304
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY5764 CA Primary

Addresses

Primary practice location

100 E Thousand Oaks Blvd Ste 180
Thousand Oaks, CA 91360-8113

Mailing address

100 E Thousand Oaks Blvd Ste 180
Thousand Oaks, CA 91360-8113
Phone (805) 499-2304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 31, 2016 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY5764CAMDClinical Psychologist
5764CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1790747095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 180",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608113",
            "telephone_number": "805-499-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 180",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608113",
            "telephone_number": "805-499-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "TERRY",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.