Individual provider Active NPI

Evelyn Perez, LP

  • School Psychologist
  • Spring, TX
National Provider Identifier
1942867577
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
37832 Issued in TX
Practice address
26010 Oak Ridge Dr Ste 107
Spring, TX 77380-1972
Phone
(281) 815-0899
Fax
(281) 528-1107
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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 37832 TX Primary

Addresses

Primary practice location

26010 Oak Ridge Dr Ste 107
Spring, TX 77380-1972

Mailing address

26010 Oak Ridge Dr Ste 107
Spring, TX 77380-1972
Phone (281) 815-0899

Other practice location 1

52 April Point Dr S
Montgomery, TX 77356-5839
Phone (512) 627-3093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000642 TX Order and Referring Only - Clinical Psychologist 1355762055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37832TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1942867577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26010 OAK RIDGE DR STE 107",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801972",
            "telephone_number": "281-815-0899",
            "fax_number": "281-528-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26010 OAK RIDGE DR STE 107",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801972",
            "telephone_number": "281-815-0899",
            "fax_number": "281-528-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 April Point Dr S",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773565839",
            "country_code": "US",
            "telephone_number": "512-627-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "37832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.