DR. STEPHANIE ANN PEREZ PH.D. NPI 1003028341

NPI Information

NPI: 1003028341
Provider Name: DR. STEPHANIE ANN PEREZ, PH.D.
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: 73 PORT WATSON ST
CORTLAND, NY
ZIP 13045
Phone: (607) 753-6511

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NPI Details

DR. Stephanie Ann Perez, PH.D. is a clinical psychologist in Cortland, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Stephanie Ann Perez, PH.D. NPI is 1003028341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

73 PORT WATSON ST
CORTLAND, NY
ZIP 13045-027
Phone: (607) 753-6511
Fax: (607) 753-1648

The NPI 1003028341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	012191	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	56167B	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	S12191-3	OTHER	NEW YORK	WCB AUTH #
3	688-5837	OTHER	NEW YORK	VALUE OPTIONS GHI PIN NUM
4	246-683	OTHER	NEW YORK	VALUE OPTIONS NUMBER
5	040728-000-060	OTHER	NEW YORK	FIDELIS
6	S23468	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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