Organization Active NPI

Clifford C Perera MD Inc

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1871604215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35037134 Issued in OH
Legal business name
CLIFFORD C PERERA MD INC
Practice address
555 Hampshire Rd
Akron, OH 44313
Phone
(330) 869-9198
Fax
(330) 869-9198
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Clifford C Perera, MD
Title
President
Phone
(330) 869-9198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35037134 OH Primary

Addresses

Primary practice location

555 Hampshire Rd
Akron, OH 44313

Mailing address

555 Hampshire Rd
Akron, OH 44313
Phone (330) 869-9198

Other identifiers 1

IdentifierTypeStateIssuer
0295907MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871604215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HAMPSHIRE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-869-9198",
            "fax_number": "330-869-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HAMPSHIRE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-869-9198",
            "fax_number": "330-869-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD C PERERA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-869-9198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35037134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295907",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.