DR. MICHAEL L PECK (NPI# 1740328491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740328491 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L PECK |
| Credential | PHD |
| Practice Address |
10642 Santa Monica Blvd Los Angeles CA 90025-4525 |
| Practice Telephone | 3104753018 |
| Practice Fax Number | 3104753018 |
| Mailing Telephone | 3104753018 |
| Mailing Fax Number | 3104753018 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY2942 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSYCHOLOGY LICENSE | PSY2942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637130 | Michael Stephan Peck | Chiropractor | 660 W 7th St, San Pedro, CA 90731-3118 | 2006-10-25 |
| 1023026176 | Michael Lloyd Peck | Optometrist | 517 W Maine Ave, Enid, OK 73701-5542 | 2006-08-04 |
| 1881629806 | Michael J Peck | Chiropractor | 1530 Avenue O, Huntsville, TX 77340-4452 | 2006-07-11 |
| 1477193597 | Michael Andrew Peck | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-01-07 |
| 1265825988 | Michael Lawrence Peck | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2015-03-05 |
| 1861823353 | Michael Peck | Counselor | 122 1st St, Chestertown, MD 21620-1983 | 2013-12-09 |
| 1770712424 | Michael Scott Peck | Podiatrist | 1155 Kelly Johnson Blvd, #310, Colorado Springs, CO 80920-3932 | 2009-07-02 |
| 1881801017 | Michael Wayne Peck | Specialist/Technologist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2007-05-17 |
| 1255543146 | Michael A. Peck | Dentist | 5038 Tennyson Pkwy, Suite A, Plano, TX 75024-2954 | 2007-05-04 |
| 1336210806 | Michael Peck | Specialist | 1130 Eagle Rock Rd, Colorado Springs, CO 80918-3906 | 2006-11-13 |
| Street Address |
10642 SANTA MONICA BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094135 | Nona Williams | Psychologist | 10642 Santa Monica Blvd, Suite 201, Los Angeles, CA 90025-4525 | 2006-06-21 |
| 1043763642 | Francisco Javier Prieto | Behavioral Analyst | 10642 Santa Monica Blvd, 202, Los Angeles, CA 90025-4525 | 2016-07-29 |
| 1538520135 | Tina Castro | Social Worker | 10642 Santa Monica Blvd, Suite 202, Los Angeles, CA 90025-4525 | 2016-03-10 |
| 1922489798 | Focus On All-child Therapies | Behavioral Analyst | 10642 Santa Monica Blvd, #201, Los Angeles, CA 90025-4525 | 2015-06-17 |
| 1669853453 | Focus On All-child Therapies, Inc | Behavioral Analyst | 10642 Santa Monica Blvd, #202, Los Angeles, CA 90025-4525 | 2015-06-17 |
| 1790181691 | Pediatric Therapy Playhouse | Speech-Language Pathologist | 10642 Santa Monica Blvd, Suite 101, Los Angeles, CA 90025-4525 | 2014-11-05 |
| 1669709119 | Alyce Botwinick | Social Worker | 10642 Santa Monica Blvd, Suite 201, Los Angeles, CA 90025-4525 | 2009-11-04 |
| 1700113248 | Eric Daniel Kastan | Marriage & Family Therapist | 10642 Santa Monica Blvd, Suite 201, Los Angeles, CA 90025-4525 | 2009-11-04 |
| 1376737213 | Paul Michael Remmele | Marriage & Family Therapist | 10642 Santa Monica Blvd, Suite #201, Los Angeles, CA 90025-4525 | 2007-09-04 |
| 1871638239 | Jennifer Marie Willemsen | Marriage & Family Therapist | 10642 Santa Monica Blvd, Suite 201, Los Angeles, CA 90025-4525 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on DR. MICHAEL L PECK.
| 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.