DAVID JERMAINE PERRY II


Address: 2772 Martin Luther King Blvd., Fresno, CA 93706
Phone: 5592654800

DAVID JERMAINE PERRY II (NPI# 1326373887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326373887
Entity Type Individual
Full Name DAVID JERMAINE PERRY II
Practice Address 2772 Martin Luther King Blvd.
Fresno
CA 93706
Mailing Address 2495 W Alamos Ave Apt 223
Fresno
CA 93705-0711
Practice Telephone 5592654800
Practice Fax Number 5592654823
Mailing Telephone 5593941920
Enumeration Date 2009-10-16
Last Update Date 2009-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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1326384876 David Wayne Perry Counselor 8072 S Everett Ct, Littleton, CO 80128-5370 2013-01-02
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1356486856 David Mason Perry Dentist 1105 Atlantic Ave Ste 101, Alameda, CA 94501-1185 2007-02-21
1649346180 David W Perry Physical Therapist 2065 Van Antwerp St, Grosse Pointe Woods, MI 48236-1622 2006-11-27
1053485979 David A Perry Dentist 80 Flat St, Suite 101, Brattleboro, VT 05301-3272 2006-11-20
1114023405 David Arnold Perry Psychiatry & Neurology 217 Hudson Street, Cornwall-on-hudson, NY 12520-1511 2006-09-15
1326141631 David G Perry Psychologist 1006 W James St, Norristown, PA 19401-3623 2006-09-06

Office Location

Street Address 2772 MARTIN LUTHER KING BLVD.
City FRESNO
State CA
Zip Code 93706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568590347 West Care Substance Abuse Rehabilitation Facility 2772 Martin Luther King Blvd., Fresno, CA 93706 2007-03-01
1679004071 Gale Asbury Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706 2017-03-27
1710270525 Kathryn Tkac Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706 2011-05-26
1063741494 Nona Hall Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706 2009-12-14
1073840633 Jennifer Ann Hall Counselor 2772 Martin Luther King Blvd., 2772 Martin Luther King Blvd., Fresno, CA 93706 2009-11-03
1700011988 Susan Carol Shaw Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706 2009-05-18
1366682023 Pheng Thao Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706 2009-02-20
1699914457 Carolyn Haudenschild Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706 2009-02-18
1194902577 Raymond Nacho Gonzales Counselor 2772 Martin Luther King Blvd., Fresno, CA 93706-2107 2008-01-28
1437336187 Barbara Ellen Murray-hirahara Case Manager/Care Coordinator 2772 Martin Luther King Blvd., Fresno, CA 93706 2008-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295378446 Caussaundra Maria Dominguez Counselor 2772 S Martin Luther King, Fresno, CA 93706 2019-10-21
1881244945 Aurelio Mendoza Counselor 1414 W. Kearney Blvd, Fresno, CA 93706 2019-09-19
1003374539 Jasmine Elizabeth Flores Counselor 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 2019-03-04
1063982049 Bruno Sivongxay Counselor 2772 South Martin L King Jr Blvd, Fresno, CA 93706 2018-12-03
1821567538 Misty Dawn Shepherd Counselor 2772 Martin L King Blvd, Fresno, CA 93706 2018-11-26
1497224125 Jose Jimenez Counselor 2772 Martin L. King Blvd, Fresno, CA 93706 2018-11-26
1023587730 James John Pokorny IIi Counselor 2772 Martin L. King Blvd, Fresno, CA 93706 2018-11-26
1932574225 Brandi Leos Counselor 2772 Mlk Jr. Blvd, Fresno, CA 93706 2015-12-11
1174998199 Jeremiah Hinojosa Counselor 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 2015-12-02
1538534557 Megan Mahoney Counselor 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 2015-12-02
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164022976 Denise Renee Hands Counselor 4604 E Terrace Ave, Fresno, CA 93703-2079 2020-10-30
1649807694 Debbie Jeneen Darden Counselor 891 W Kearney Blvd, Fresno, CA 93706-2514 2020-03-26
1205466802 Elizabeth C Esqueda Counselor 804 S Parallel Ave, Fresno, CA 93721-2404 2020-01-22
1295378446 Caussaundra Maria Dominguez Counselor 2772 S Martin Luther King, Fresno, CA 93706 2019-10-21
1881244945 Aurelio Mendoza Counselor 1414 W. Kearney Blvd, Fresno, CA 93706 2019-09-19
1356994909 Joaquin Sanchez Counselor Quest House 2731 W Olive Ave, Fresno, CA 93728 2019-07-23
1003374539 Jasmine Elizabeth Flores Counselor 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 2019-03-04
1104397348 Brian K Bradley Counselor 2212 N Winery Ave, Fresno, CA 93703-2896 2018-12-16
1063982049 Bruno Sivongxay Counselor 2772 South Martin L King Jr Blvd, Fresno, CA 93706 2018-12-03
1831669951 Ashlee Faith Vasquez Counselor 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 2018-12-01
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Competitor

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City FRESNO
Zip Code 93706

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Dataset Information

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.

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