Individual provider Active NPI

Nathanael Perrizo, MSC

  • Counselor
  • Gilbert, AZ
National Provider Identifier
1871941963
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-16066 Issued in AZ
Practice address
2563 S Val Vista Dr
SE Corner of Val Vista and Williams Field
Gilbert, AZ 85295-1804
Phone
(480) 290-2533
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-16066 AZ Primary

Addresses

Primary practice location

2563 S Val Vista Dr
SE Corner of Val Vista and Williams Field
Gilbert, AZ 85295-1804

Mailing address

8847 E Posada Ave
Mesa, AZ 85212-2842
Phone (480) 290-2533

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
LAC-16066AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1871941963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 E POSADA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122842",
            "telephone_number": "480-290-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR",
            "address_2": "SE CORNER OF VAL VISTA AND WILLIAMS FIELD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951804",
            "telephone_number": "480-290-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIZO",
        "first_name": "NATHANAEL",
        "credential": "MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-16066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.