Nicole P Perry, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017419 Issued in MI

Practice address

214 S Main St Ste 206
Ann Arbor, MI 48104-2122

Phone

(734) 224-3822

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emily Hiber Emotional Health, LLC

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
  • NPI 1780390567
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1982188108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 MYSTIC DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038951",
            "telephone_number": "303-506-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST STE 206",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042122",
            "telephone_number": "734-224-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NICOLE",
        "middle_name": "P",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Perry, LLMSW
• Julie Stein Perry, MD
• Kyle David Perry, MD
• Lauren Michelle Perry, MD
• Marcia A. Perry, M.D.
• William Robert Perry, MD
• Carol C Persad, PHD
• Katalin Persha
• Amy Theresa Pershing, MSW, LMSW, ACSW
• Neal Wayne Persky, MD

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.