Individual provider Active NPI

Allison Perotti

  • School Psychologist
  • Eagle River, AK
National Provider Identifier
1801400866
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
49512 Issued in AK
Practice address
16650 River Heights Loop
Eagle River, AK 99577-8084
Phone
(914) 456-3072
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 49512 AK Primary

Addresses

Primary practice location

16650 River Heights Loop
Eagle River, AK 99577-8084

Mailing address

16650 River Heights Loop
Eagle River, AK 99577-8084
Phone (914) 456-3072

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

LicenseStateTypeSpecialty
49512AKMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1801400866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 RIVER HEIGHTS LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778084",
            "telephone_number": "914-456-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 RIVER HEIGHTS LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778084",
            "telephone_number": "914-456-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROTTI",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AK",
            "license": "49512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.