ASHLEY PEREZ (PSYD) – Psychologist, NPI 1609352863

ASHLEY PEREZ (PSYD) is a healthcare provider. based in Warsaw, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. TPS030602 (PA). The NPI Number for ASHLEY PEREZ (PSYD) is 1609352863

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY PEREZ (PSYD)
NPI
1609352863
Phone
(574) 267-7169
Address
2621 E JEFFERSON ST
Enumeration Date
11 July 2018
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142727100
Graduation Year
2019 (7 years ago)
PAC ID
0143635060
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20210226000278
Address ID
PA168707153PO132XXLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for ASHLEY PEREZ (PSYD)

  • 2621, East Jefferson Street, Warsaw, Kosciusko County, Indiana, 46580, United States

    WARSAW, IN 465803880

    Phone: (574) 267-7169

    Type: Mailing

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Type: Mailing

  • 132 ABIGAIL LN

    PORT MATILDA, PA 168707153

    Phone: (814) 272-7100

    Type: Location

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: 2021-02-26

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
I20210226000278IClinical PsychologistPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes3114$0
90791Psychiatric diagnostic evaluation2929$0
90832Psychotherapy, 30 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 46580)

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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: 5395657001View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ASHLEY PEREZ (PSYD)?
Save NPI 1609352863 if you need a stable reference for ASHLEY PEREZ (PSYD).
Is ASHLEY PEREZ (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ASHLEY PEREZ (PSYD) treat or focus on?
Patients typically see ASHLEY PEREZ (PSYD) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where is ASHLEY PEREZ (PSYD)'s primary listing?
We display Warsaw, Indiana because that is what the record indicates for ASHLEY PEREZ (PSYD).
What if Warsaw, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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