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DR. PHYLLIS ANN PERNA PSY.D.
NPI 1518018019
Psychologist - Clinical in Elizabethtown, NY

Active since January 13, 2007
107 HAND AVENUE, ELIZABETHTOWN, NY 12932(518) 962-8884 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 28, 2020, Jun 14, 2018 (2 updates tracked since 2018).

About Dr. Phyllis Ann Perna Psy.d. NPPES

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

DR. PHYLLIS ANN PERNA PSY.D. (NPI 1518018019) is an individual clinical provider in Elizabethtown, New York, licensed in New York (018491-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1518018019
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PHYLLIS ANN PERNACredential: PSY.D.
Location Address107 HAND AVENUEElizabethtown, NY 12932
Mailing Address527 Stevenson RdWestport, NY 12993-2219 · (610) 730-5613
Phone(518) 962-8884
Sole ProprietorYes
Enumeration DateJanuary 13, 2007
Last NPPES UpdateMarch 28, 20202 updates tracked since enumeration
NPPES CertifiedMarch 28, 2020
✔ NPI 1518018019 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 NY · 018491-1
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.
107 HAND AVENUE, Elizabethtown, NY 12932
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Other Identifiers 1

Medicaid001535699PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Phyllis Perna's NPI number?

The NPI number for Phyllis Perna is 1518018019. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Phyllis Perna located?

Phyllis Perna practices at 107 Hand Avenue, Elizabethtown, NY 12932. The listed phone number is (518) 962-8884.

What is Phyllis Perna's specialty?

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

When was this NPI record last updated?

The NPPES record for Phyllis Perna was last updated on March 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.