Organization Active NPI

Laurence P. Perotti, PH.D. P.C.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1982745592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-2336 Issued in TX
Legal business name
LAURENCE P. PEROTTI, PH.D. P.C.
Practice address
9119 Cinnamon HL
San Antonio, TX 78240-5401
Phone
(210) 558-1102
Fax
(210) 558-1291
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurence Peter Perotti, PH.D.NPI 1184601544
Title
President
Phone
(210) 310-8864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2-2336 TX Primary

Addresses

Primary practice location

9119 Cinnamon HL
San Antonio, TX 78240-5401

Mailing address

PO Box 171185
San Antonio, TX 78217-8185
Phone (210) 310-8864

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982745592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171185",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782178185",
            "telephone_number": "210-310-8864",
            "fax_number": "210-655-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 CINNAMON HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405401",
            "telephone_number": "210-558-1102",
            "fax_number": "210-558-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE P. PEROTTI, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEROTTI",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-310-8864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.