Mary Rego Perry

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106488 Issued in MA

Practice address

19 North White Pine Lane
Mansfield, MA 02048

Phone

(508) 455-8150

NPI assigned

Sep 21, 2018

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1942784244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N WHITE PINE LN",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482047",
            "telephone_number": "508-455-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NORTH WHITE PINE LANE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-455-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MARY",
        "middle_name": "REGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Peach
• Peak Performance Psychology LLC
• Pediatric Dental Center of Mansfield
• Arne G Pelto, DC
• Pentec Health, Inc.
• Peter a Kinney (Kinney Associates)
• Sachin Shamkant Phansalkar, M.D.
• Cassandra Pierre, APRN-NP
• Kerry Pottinger
• Dawn Elizabeth Pouliot, MASSAGE THERAPIST

• Clinical Social Worker in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.