MARIO PEREZ (NPI# 1700814076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700814076 |
| Entity Type | Individual |
| Full Name | MARIO PEREZ |
| Credential | MD |
| Practice Address |
100 Jefferson Sq Waterbury CT 06706-1109 |
| Mailing Address |
56 Franklin St 3rd Floor Waterbury CT 06706-1221 |
| Practice Telephone | 2037096200 |
| Practice Fax Number | 2037093335 |
| Mailing Telephone | 2037098873 |
| Mailing Fax Number | 2037098689 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
015531 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001155317 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154883817 | Mario J Perez | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl Rm 2322, Aurora, CO 80045-2570 | 2019-04-02 |
| 1912264805 | Mario E Perez | Occupational Therapist | 2517 Hikers Ct, Kissimmee, FL 34743 | 2012-04-16 |
| 1376747204 | Mario Lauro Perez | Internal Medicine | 9958 Sierra Ave., Fontana, CA 92335 | 2007-06-13 |
| 1639696800 | Mario Lazaro Perez | Nurse Practitioner | 9333 Sw 152nd St, Palmetto Bay, FL 33157-1778 | 2017-08-28 |
| 1023548294 | Mario Perez | Rehabilitation Practitioner | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2017-06-19 |
| 1093059412 | Mario A Perez | Counselor | 1222 10th St, Suite 211, Woodward, OK 73801-3156 | 2012-11-26 |
| 1407131220 | Mario Arturo Perez | Physical Therapy Assistant | 1301 E Fern Ave, Ste. D1, Mcallen, TX 78501-1466 | 2011-10-12 |
| 1033494869 | Mario Alberto Perez | Occupational Therapy Assistant | 220 S Bicentennial Blvd Ste A, Mcallen, TX 78501-7019 | 2011-10-12 |
| 1861702375 | Mario Perez | Behavioral Analyst | 5723 Whittier Blvd, Los Angeles, CA 90022-4222 | 2010-10-18 |
| 1962630194 | Mario Perez Jr. | Physical Medicine & Rehabilitation | 5601 De Soto Ave, Dept of Physical Medicine, Woodland Hills, CA 91367-6701 | 2009-06-25 |
| Street Address |
100 JEFFERSON SQ |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307106 | Kunjathan Thankappan | Psychiatry & Neurology | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-25 |
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1487290193 | Kelsey L Laudano | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2019-11-18 |
| 1154964138 | Bianca M Kizis | Registered Nurse | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2019-10-23 |
| 1295380913 | Kristal Alexis Lewis | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2019-08-08 |
| 1700337292 | Stephanie Nicole Carroll | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2016-10-19 |
| 1720454028 | Katherine Sasso | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2015-08-20 |
| 1073623997 | Pamela H. Pratt | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-08-30 |
| 1154344828 | James Artes | Counselor | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-07-25 |
| 1982633293 | Barbara Cable | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| Find all providers in zip 06706 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1821169582 | Jeffrey H Boyd Md & Associates PC | Psychiatry & Neurology | 969 West Main St, 2nd Floor, Waterbury, CT 06708 | 2006-11-13 |
| 1063599637 | Judith Karen Carlson | Psychiatry & Neurology | 55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-01 |
| 1437234218 | Thomas A Simpatico | Psychiatry & Neurology | South Main Street, Waterbury, VT 05676 | 2006-10-27 |
| 1659307106 | Kunjathan Thankappan | Psychiatry & Neurology | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-25 |
| 1578516597 | Azhar Imam | Psychiatry & Neurology | 100 Jefferson Square, Waterbury, CT 06706-1253 | 2006-05-19 |
| 1700852787 | George Robert C Amilo | Psychiatry & Neurology | Waterbury Hospital, 64 Robbins Street, Waterbury, CT 06708 | 2006-02-28 |
| 1780660134 | Lori Sobel | Psychiatry & Neurology | 4 Midland Ave, Connecticut Counseling, Waterbury, CT 06705 | 2005-12-19 |
| 1083697114 | Jeffrey Howard Boyd | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2005-11-22 |
| Find all providers in WATERBURY | ||||
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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.