Katherine Federowicz Perez
Katherine Federowicz Perez is a Mental Health Counselor in Vineyard Haven, Massachusetts. Qualified in 2016, 10 years ago. Practices with Martha's Vineyard Community Services, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.
- Years since qualifying
- 10
- Licensed in
- CA, MA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
111 Edgartown RdVineyard Haven, MA 02568-5699
Phone: (508) 693-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (MA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 126365 (CA) |
Record details
| NPI number | 1780109702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 10, 2017 |
| Last updated in NPPES | September 8, 2022 |
| Certification date | August 29, 2022 |
| Mailing address | 111 Edgartown Rd, Vineyard Haven, MA 02568-5699 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Martha'S Vineyard Community Services, Inc. — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |