DR. PHYLLIS ANN PERNA (NPI# 1518018019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518018019 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS ANN PERNA |
| Credential | PSY.D. |
| Practice Address |
107 Hand Avenue Elizabethtown NY 12932 |
| Mailing Address |
527 Stevenson Rd Westport NY 12993-2219 |
| Practice Telephone | 5189628884 |
| Mailing Telephone | 6107305613 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
018491-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001535699 | 05 |
| Street Address |
107 HAND AVENUE |
| City | ELIZABETHTOWN |
| State | NY |
| Zip Code | 12932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052823 | Mary Elizabeth Durgan | Case Manager/Care Coordinator | Essex County Health Department, Childrens Service Unit 132 Water Street, Elizabethtown, NY 12932 | 2020-04-23 |
| 1588176903 | Windhorse Acupuncture | Acupuncturist | 107 Hand Ave, Suite 4b, Elizabethtown, NY 12932 | 2017-10-25 |
| 1932442134 | Korin Susan Burdo | Registered Nurse | 93 Water St, Elizabethtown, NY 12932 | 2013-04-05 |
| 1144545161 | Leanna Loye Deneale | Pharmacist | 7567 Court Street, Elizabethtown, NY 12932 | 2010-04-01 |
| 1184862112 | Essex County Transportation | Transportation Broker | 7551 Court St, Elizabethtown, NY 12932 | 2009-01-29 |
| 1174700363 | Annie Gronningsater Mckinley | Counselor | 7513 Court St, Elizabethtown, NY 12932 | 2008-01-30 |
| 1457535692 | Michael Morris | Pharmacist | 7550 Court Street, Elizabethtown, NY 12932 | 2007-12-24 |
| 1811190663 | Families First In Essex | Case Management | 196 Water Street, Elizabethtown, NY 12932 | 2007-06-08 |
| 1750500476 | Kristina Jennifer Pierson | Counselor | 7513 Court St., Elizabethtown, NY 12932 | 2007-04-24 |
| 1699850149 | Sarah Irving | Physical Therapy Assistant | 75 Park St., Elizabethtown, NY 12932 | 2006-10-25 |
| Find all providers in zip 12932 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922518216 | Nathaniel Ross Rhoad | Psychologist | 422 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2017-10-02 |
| 1669746202 | Franklin P. Ryan | Psychologist | 44 S Market St, Elizabethtown, PA 17022-2307 | 2012-02-29 |
| 1922151141 | Laura Margaret Soden | Psychologist | 208 Water Street, Suite 21, Elizabethtown, NY 12932-0356 | 2007-01-19 |
| 1063468817 | Nicholas Watters | Psychologist | 240 W Dixie, Suite 5-b, Elizabethtown, KY 42701-1575 | 2006-05-25 |
| 1801846647 | Jon Russell Urey | Psychologist | 2608 Ring Rd, Suite 102, Elizabethtown, KY 42701-7945 | 2006-05-11 |
| 1912961046 | Donald Edward Wooldridge | Psychologist | 2608 Ring Road, Suite 102, Elizabethtown, KY 42701 | 2006-04-14 |
| 1710941307 | Rollin S. Rhodes | Psychologist | 915 Memorial Ct, Elizabethtown, KY 42701-2525 | 2006-04-12 |
| 1538143326 | John Joseph Hannifan | Psychologist | 308 N Mulberry St, Elizabethtown, KY 42701-1846 | 2005-12-05 |
| 1801136361 | Nick Watters, Psyd Plc | Psychologist | 240 W Dixie Ave, Suite 5-b, Elizabethtown, KY 42701-1586 | 2013-02-20 |
| 1164672473 | Lisa Nelson | Psychologist | 890 Rineyville Rd, Elizabethtown, KY 42701-8927 | 2008-09-23 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 12932 |
Please comment or provide details below to improve the information on DR. PHYLLIS ANN PERNA.
| 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.