DR. ROBERT GRAY PERRA (NPI# 1225182264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225182264 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GRAY PERRA |
| Credential | ED.D. |
| Practice Address |
103 S 4th St Sturgis MI 49091-1819 |
| Mailing Address |
11081 Greer Dr Richland MI 49083-9388 |
| Practice Telephone | 2696513902 |
| Practice Fax Number | 2696594874 |
| Mailing Telephone | 2697314662 |
| Mailing Fax Number | 2696594874 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301004082 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 61-41803 | 05 | |
| MI | TRICARE | M018978 | 01 |
| MI | CHAMPUS VA | 014850 | 01 |
| Street Address |
103 S 4TH ST |
| City | STURGIS |
| State | MI |
| Zip Code | 49091-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535164 | Travis Jason Crotser | Counselor | 103 S 4th St, Sturgis, MI 49091-1819 | 2019-12-17 |
| 1306032677 | Kathryn Boegel Tiefenthal | Social Worker | 103 S 4th St, Sturgis, MI 49091-1819 | 2007-09-20 |
| 1851501761 | Psychological Services | Psychologist | 103 S 4th St, Sturgis, MI 49091-1819 | 2007-05-23 |
| 1417098021 | Susan Sherrill Pattison | Psychologist | 103 S 4th St, Sturgis, MI 49091-1819 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558329 | Reflections of Thurston Woods | Custodial Care Facility | 1946 S. Thurston Woods Drive, Sturgis, MI 49091 | 2016-10-10 |
| 1124258793 | Joan M Fox | Physical Therapist | 1717 E Chicago Road, Sturgis Hospital, Sturgis, MI 49091 | 2009-07-17 |
| 1538336110 | Dr R L Chorpenning | Chiropractor | 104 W Congress, Sturgis, MI 49091 | 2008-05-13 |
| 1710176151 | Guardiantrac LLC | In Home Supportive Care | 215 Broadus St, Sturgis, MI 49091 | 2007-10-22 |
| 1134320302 | Kelly Marie Amrein | Pharmacist | 1533 E Chicago Rd., Sturgis, MI 49091 | 2007-05-29 |
| 1417079633 | Mark Donald Henson Bohlen | Social Worker | 401 S Fourth Street, Sturgis, MI 49091 | 2007-04-06 |
| 1609995349 | Michael A Fine | Physical Therapist | 70420 S. Centerville Road, Suite C, Sturgis, MI 49091 | 2007-03-27 |
| 1437203973 | Robert J Mahoney | Counselor | 70050 M 66, Sturgis, MI 49091 | 2007-01-22 |
| 1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
| 1225196355 | James Hunter Raiford | Counselor | 103 S 4th Ave, Sturgis, MI 49091 | 2006-12-04 |
| Find all providers in zip 49091 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
| 1972115251 | Transformative Counseling Services | Psychologist | 8965 Lenter Dr Se, Caledonia, MI 49316-7793 | 2020-08-19 |
| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
| 1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
| 1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
| 1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.