MR. JASON YAMIL PEREZ I (NPI# 1225452097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225452097 |
| Entity Type | Individual |
| Full Name | MR. JASON YAMIL PEREZ I |
| Practice Address |
142 Crescent St Second Floor Brockton MA 02302-3104 |
| Mailing Address |
142 Crescent Street Second Floor Brockton MA 02302 |
| Practice Telephone | 5089410005 |
| Practice Fax Number | 5084276915 |
| Mailing Telephone | 5089410005 |
| Mailing Fax Number | 5084276915 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S63796894 | MA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760809016 | Jason Adam Perez | Counselor | 9716 Ann Arbor Ln, Las Vegas, NV 89134-0427 | 2014-03-25 |
| 1851889919 | Jason D Perez | Psychologist | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2018-04-24 |
| 1124491303 | Jason A Perez | Nurse Anesthetist, Certified Registered | 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235-4724 | 2015-11-10 |
| 1952718272 | Jason Perez | Student in an Organized Health Care Education/Training Program | 2225 Ponce Byp, 407, Ponce, PR 00717-1321 | 2014-07-18 |
| 1083963771 | Jason M. Perez | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2012-09-10 |
| 1316064207 | Jason Sanchez Perez | Counselor | 225 37th Avenue, 3rd Floor, San Mateo, CA 94403 | 2007-03-23 |
| Street Address |
142 CRESCENT ST SECOND FLOOR |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396952149 | Efrain Baez | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2007-05-17 |
| 1861941890 | Lea Stephanie Rojas Otero | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2016-10-03 |
| 1457747131 | Gloria Alfaro-nieves | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-04-09 |
| 1699168112 | Julia Martins | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-03-09 |
| 1629466982 | Karina Perona-fassi | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-01-08 |
| 1063832913 | Maria Amelia Gomes | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2014-04-18 |
| 1588000178 | Fritzlaine Thermidor | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2013-05-22 |
| 1093062754 | Basile Bazina | Counselor | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2012-08-12 |
| 1588911713 | Casandra Ann Smaller | Student in an Organized Health Care Education/Training Program | 142 Crescent St, 2nd Floor, Brockton, MA 02302-3104 | 2012-08-07 |
| 1336421007 | Jimmy Efrain Guity | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1053920256 | Scott Pratt | Student in an Organized Health Care Education/Training Program | 35 Hancock Ave, Brockton, MA 02301-2939 | 2020-07-24 |
| 1437773629 | Samuel Dean | Student in an Organized Health Care Education/Training Program | 425 Pleasant St Ste 1, Brockton, MA 02301-2533 | 2020-06-03 |
| 1073148540 | Jennifer Thim Oung | Student in an Organized Health Care Education/Training Program | 55 Michael Dr, Brockton, MA 02301-6219 | 2020-03-05 |
| 1013566629 | Despina Arabatzis | Student in an Organized Health Care Education/Training Program | 74 Frankton Ave, Brockton, MA 02301-1554 | 2019-09-06 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1205364395 | Amy P Coole | Student in an Organized Health Care Education/Training Program | 103 Commercial St Fl 2, Brockton, MA 02302-3101 | 2017-06-01 |
| 1861930653 | Chelsea Paige Dunstan | Student in an Organized Health Care Education/Training Program | 891 Montello St, Brockton, MA 02301 | 2017-02-01 |
| 1649640418 | Shanice Pullen | Student in an Organized Health Care Education/Training Program | 41 Linnea Ave, Brockton, MA 02301-6425 | 2015-10-05 |
| Find all providers in BROCKTON | ||||
Please comment or provide details below to improve the information on MR. JASON YAMIL PEREZ I.
| 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.