DR. KEN HOWARD PEREZ PSY.D.
NPI 1629545348
Psychologist in San Jose, CA

Active since October 31, 2018PECOS EnrolledAccepts Medicare Assignment
5755 COTTLE RD BLDG 24, SAN JOSE, CA 95123(408) 972-3218 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Oct 31, 2018 (2 updates tracked since 2018).

About Dr. Ken Howard Perez Psy.d. NPPES

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

DR. KEN HOWARD PEREZ PSY.D. (NPI 1629545348) is an individual psychologist in San Jose, California, licensed in California (30444) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629545348
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEN HOWARD PEREZCredential: PSY.D.
Location Address5755 COTTLE RD BLDG 24San Jose, CA 95123-3640
Mailing Address75 Moss St Apt 10San Francisco, CA 94103-4095 · (808) 375-0391
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 31, 2018
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPI 1629545348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 30444
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5755 COTTLE RD BLDG 24, San Jose, CA 95123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ken Howard Perez Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103201728
PECOS Enrollment IDI20220919001830
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Psychiatry)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Marriage & Family Therapist
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Social Worker (Clinical)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Psychologist (Counseling)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Psychologist (Counseling)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Psychiatry & Neurology (Psychiatry)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Social Worker (Clinical)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123
Psychologist (Clinical)
5755 COTTLE RD BLDG 24
SAN JOSE, CA 95123

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 Ken Perez's NPI number?

The NPI number for Ken Perez is 1629545348. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Ken Perez located?

Ken Perez practices at 5755 Cottle Rd Bldg 24, San Jose, CA 95123. The listed phone number is (408) 972-3218.

What is Ken Perez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ken Perez enrolled in Medicare?

Yes. Ken Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ken Perez was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.