DR. STEPHANIE ANN PEREZ PH.D. NPI 1003028341

Psychologist (Clinical) in Cortland, NY

NPI 1003028341 Individual Female Psychologist Clinical PECOS Enrolled

About STEPHANIE PEREZ

Stephanie Perez is a provider established in Cortland, New York and her medical specialization is psychologist (clinical) . The NPI number of Stephanie Perez is 1003028341 and was assigned on May 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 012191 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

A clinical psychologist like Dr. Stephanie Ann Perez Ph.d. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Stephanie Perez is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Stephanie Perez is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003028341

Provider NameDR. STEPHANIE ANN PEREZ PH.D.
Provider Location Address73 PORT WATSON ST CORTLAND, NY 13045
Provider Mailing Address73 PORT WATSON ST CORTLAND, NY 13045
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-06-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.012191
License StateNY
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. STEPHANIE ANN PEREZ PH.D.
73 PORT WATSON ST
CORTLAND, NY
ZIP 13045
Phone: (607) 753-6511
Fax: (607) 753-1648

Get Directions


Mailing Address

DR. STEPHANIE ANN PEREZ PH.D.
73 PORT WATSON ST
CORTLAND, NY
ZIP 13045
Phone: (607) 753-6511
Fax: (607) 753-1648



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
56167BMEDICARE ID-TYPE UNSPECIFIED (04)NY
S12191-3OTHER (01)NY
688-5837OTHER (01)NY
246-683OTHER (01)NY
040728-000-060OTHER (01)NY
S23468MEDICARE UPIN (02)NY

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124167689MR. JOSEPH PULLMAN LCSW-R
Individual
Social Worker (Clinical)73 PORT WATSON ST
CORTLAND, NY 13045
(607) 756-4650
1679761134MS. ELLEN K KETCHUM LCSW-R
Individual
Counselor (Mental Health)73 PORT WATSON ST
CORTLAND, NY 13045
(607) 756-4650

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.