Individual provider Active NPI

Javier F Perez, PH.D.

  • Counseling Psychologist
  • Phoenix, AZ
National Provider Identifier
1922035625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1960 Issued in AZ
Practice address
5050 N 8TH PL
Suite 8
Phoenix, AZ 85014-3202
Phone
(602) 285-9696
Fax
(602) 277-5930
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1960 AZ Primary

Addresses

Primary practice location

5050 N 8TH PL
Suite 8
Phoenix, AZ 85014-3202

Mailing address

5050 N 8TH PL
Suite 8
Phoenix, AZ 85014-3202
Phone (602) 285-9696

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922035625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N 8TH PL",
            "address_2": "SUITE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143202",
            "telephone_number": "602-285-9696",
            "fax_number": "602-277-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N 8TH PL",
            "address_2": "SUITE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143202",
            "telephone_number": "602-285-9696",
            "fax_number": "602-277-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JAVIER",
        "middle_name": "F",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.