Individual provider Active NPI

Patrizia Perazzo, PH.D.

  • Psychologist
  • Houston, TX
National Provider Identifier
1992583603
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40238 Issued in TX
Practice address
4349 Martin Luther King Blvd
Health 2 Building Suite 1001 E
Houston, TX 77204-0001
Phone
(713) 743-9682
NPI assigned
Sep 15, 2023
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 40238 TX Primary

Addresses

Primary practice location

4349 Martin Luther King Blvd
Health 2 Building Suite 1001 E
Houston, TX 77204-0001

Mailing address

4349 Martin Luther King Blvd
Health 2 Building Suite 1001 E
Houston, TX 77204-0001
Phone (713) 743-9682

Other practice location 1

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

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
I20240911001515 TX Practitioner - Clinical Psychologist 4385184878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, shared by 33 NPIs, 165 clinicians

Practice addresses (Care Compare)

211 Comal St
Austin, TX 78702-4326
Phone (512) 978-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas at Austin CurrentSince Oct 20, 2024 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 20, 2024 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
Uh Health Psychologist CurrentSince Sep 17, 2023 Accepting new patients

Locations

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5512

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

4349 Martin Luther King Blvd
Ste 1001
Houston, TX 77204
Phone (713) 743-9682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26199/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patrizia.perazzo.1@16041.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1992583603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD",
            "address_2": "HEALTH 2 BUILDING SUITE 1001 E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "713-743-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD",
            "address_2": "HEALTH 2 BUILDING SUITE 1001 E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "713-743-9682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Trinity St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787121765",
            "country_code": "US",
            "telephone_number": "833-882-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERAZZO",
        "first_name": "PATRIZIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.