KENNY PEREZ (NPI# 1629678552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629678552 |
| Entity Type | Individual |
| Full Name | KENNY PEREZ |
| Practice Address |
142 Griggs St Waterbury CT 06704-3110 |
| Mailing Address |
141 E Main St Waterbury CT 06702-2310 |
| Practice Telephone | 2035749000 |
| Practice Fax Number | 2035749006 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| 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 | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730524307 | Kenny Perez | Psychiatry & Neurology | 2000 S Dixie Hwy Ste 110, Miami, FL 33133 | 2013-05-08 |
| Street Address |
142 GRIGGS ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609098193 | Michael E Garrard | Counselor | 142 Griggs St, Waterbury, CT 06704-3110 | 2007-05-03 |
| 1821602772 | Paul Robinson | Social Worker | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-09-08 |
| 1215549506 | Desiree Herens | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-08-19 |
| 1558918862 | Mackenzie Smith | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2019-08-21 |
| 1144876152 | Dawn Engelhard | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2019-08-15 |
| 1144727793 | Jacqueline Dicandia | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2018-04-10 |
| 1316461015 | Amanda Lebron | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2017-08-03 |
| 1093117772 | Monique Dagraca | Community Health Worker | 142 Griggs St, Therapeutic Shelter, Waterbury, CT 06704-3110 | 2014-09-24 |
| 1376960724 | Michael G Soneson | Social Worker | 142 Griggs St, Waterbury, CT 06704-3110 | 2014-03-24 |
| 1982956181 | Brittanni Koryn Cogdell | Counselor | 142 Griggs St, Therapeutic Shelter, Waterbury, CT 06704-3110 | 2012-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| 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 |
|---|---|---|---|---|
| 1033748975 | Anxhela Kulla | Student in an Organized Health Care Education/Training Program | 93 Cedar Ave, Waterbury, CT 06705-2702 | 2020-04-03 |
| 1902433766 | Zuhal Gokturk | Student in an Organized Health Care Education/Training Program | 56 Franklin St Dept Of, Waterbury, CT 06706-1253 | 2020-03-23 |
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1699272625 | Behnoud Baradaran Noveiry | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2018-04-06 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1770938508 | Andrew Camacho | Student in an Organized Health Care Education/Training Program | 160 Robbins St., Chase Outpatient Center, Waterbury, CT 06708-2613 | 2016-04-29 |
| 1134591605 | Christine Oliver | Student in an Organized Health Care Education/Training Program | 54 South Main Street, Newtown Clinical Services, Waterbury, CT 06710-2169 | 2015-10-23 |
| 1861893026 | Gopi Durlabhji Ukani | Student in an Organized Health Care Education/Training Program | 59 Sharon Rd Apt 6, Waterbury, CT 06705-4032 | 2014-09-08 |
| 1073874202 | Dykea Torres | Student in an Organized Health Care Education/Training Program | 79 Beacon Street, Waterbury, CT 06704-1701 | 2012-06-05 |
| 1750570222 | Camera Aquila Quebec | Student in an Organized Health Care Education/Training Program | 182 Grand St Fl 4, Waterbury, CT 06702-1914 | 2007-10-19 |
| 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.