DR. JON TEEL PEREZ PH.D.
NPI 1366531881
Psychologist - Clinical in Phoenix, AZ

Q: What is Jon Perez's NPI number?

The NPI number for Jon Perez is 1366531881. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Jon Perez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jon Perez was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2006

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1511(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jon Teel Perez Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON TEEL PEREZ PH.D. (NPI 1366531881) is an individual clinical provider in Phoenix, Arizona, licensed in Pennsylvania (PS0006653L) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1366531881

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JON TEEL PEREZCredential: PH.D.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1511 · Fax (602) 263-1619

Phone(602) 263-1511

Fax(602) 263-1619

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1366531881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS0006653L

Definition

A 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.

4212 N 16TH ST, Phoenix, AZ 85016

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Other Identifiers 5

Medicaid576639AZ

Medicare UPIN-P48398

OtherAZ0422600AZ · Bcbs

Medicare ID-Type Unspecified8HZB09Part B

Medicare OSCAR/certification030078

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY RAZO

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