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PETER DAVID PERDOMO
NPI 1467161695
Case Manager/Care Coordinator in Boston, MA

Active since November 16, 2022
780 AMERICAN LEGION HWY, BOSTON, MA 02131(617) 469-8500 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter David Perdomo NPPES

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

PETER DAVID PERDOMO (NPI 1467161695) is an individual case manager/care coordinator provider in Boston, Massachusetts and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1467161695
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NamePETER DAVID PERDOMO
Location Address780 AMERICAN LEGION HWYBoston, MA 02131-3908
Mailing Address1505 Commonwealth Ave Unit 214Boston, MA 02135-3605
Phone(617) 469-8500
Sole ProprietorNo
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1467161695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
780 AMERICAN LEGION HWY, Boston, MA 02131
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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.

MR. TIMOTHY ROY BA, MSW, LCSW
Social Worker (Clinical)
780 AMERICAN LEGION HWY, PRESCHOOL OUTREACH PROGRAM
BOSTON, MA 02131
Suffolk County (617) 469-8500
SCHUYLER ENGEL MSW
Social Worker (Clinical)
780 AMERICAN LEGION HWY
ROSLINDALE, MA 02131
Suffolk County (617) 469-8654
MICHELE LUBOWSKY LCSW
Social Worker (Clinical)
780 AMERICAN LEGION HWY, THE HOME FOR LITTLE WANDERERS
ROSLINDALE, MA 02131
Suffolk County (781) 540-4217
APRIL STEPHANIE HERRERA
Student in an Organized Health Care Education/Training Program
780 AMERICAN LEGION HWY
BOSTON, MA 02131
Suffolk County (617) 469-8500
MRS. MELISSA JILL GRUNBAUM LICSW
Social Worker (Clinical)
780 AMERICAN LEGION HWY
ROSLINDALE, MA 02131
Suffolk County (614) 469-8616
SUSAN BURCHILL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
780 AMERICAN LEGION HWY
ROSLINDALE, MA 02131
Suffolk County (617) 469-8534
MR. SCOTT MICHAEL MORGAN
Counselor
780 AMERICAN LEGION HWY
ROSLINDALE, MA 02131
Suffolk County (617) 469-8575
MS. MICHELLE SHAM MSW, LICSW
Social Worker (Clinical)
780 AMERICAN LEGION HWY
ROSLINDALE, MA 02131
Suffolk County (857) 208-0975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Perdomo's NPI number?

The NPI number for Peter Perdomo is 1467161695. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Peter Perdomo located?

Peter Perdomo practices at 780 American Legion Hwy, Boston, MA 02131. The listed phone number is (617) 469-8500.

What is Peter Perdomo's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Peter Perdomo was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.