JESUS PEREZ (PSY. D.) – Clinical Psychologist, NPI 1598090201

JESUS PEREZ (PSY. D.) is a healthcare provider. based in Hialeah, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. PY7966 (FL). The NPI Number for JESUS PEREZ (PSY. D.) is 1598090201

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JESUS PEREZ (PSY. D.)
NPI
1598090201
Phone
(305) 825-0300
Address
4175 W 20TH AVE
Enumeration Date
14 October 2009
Last Update Date
14 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542172444
Graduation Year
2007 (19 years ago)
PAC ID
7113314147
Group Practice PAC ID
7517940091
Professional Enrollment ID
I20220421001970
Address ID
FL333263270WE1875XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for JESUS PEREZ (PSY. D.)

  • Citrus Health Network, 4175, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330125874

    Phone: (305) 825-0300

    Type: Location

  • 6429, Cow Pen Road, Miami Lakes, Miami-Dade County, Florida, 33014, United States

    #V104

    MIAMI LAKES, FL 330147607

    Phone: (757) 329-4690

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220421001970IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517940091View full group profile
NameSpecialtyState
Clinical PsychologistFL
Mental Health CounselorFL
Nurse PractitionerFL
Marriage And Family TherapistFL
Nurse PractitionerFL
Clinical PsychologistFL
P S Y C H I A T R YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does JESUS PEREZ (PSY. D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESUS PEREZ (PSY. D.) uses 1598090201.
Is JESUS PEREZ (PSY. D.) listed as active for patients and plans?
The listing shows JESUS PEREZ (PSY. D.) as active in the NPI system.
What taxonomy line describes JESUS PEREZ (PSY. D.)?
For research purposes, treat JESUS PEREZ (PSY. D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JESUS PEREZ (PSY. D.) on a map?
Expect Hialeah, Florida as a primary anchor for JESUS PEREZ (PSY. D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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