CALEB PAUL PECK (NPI# 1750699070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750699070 |
| Entity Type | Individual |
| Full Name | CALEB PAUL PECK |
| Credential | PSYD |
| Practice Address |
200 Retreat Avenue Hartford Hospital Psychiatry Dept Hartford CT 06106-3310 |
| Mailing Address |
Po Box 415933 Hartford Hospital Professional Services Boston MA 02241-5933 |
| Practice Telephone | 8605457940 |
| Mailing Telephone | 8605457602 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2013-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 003313 | CT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 003313 | CT | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1364 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008033136 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194081836 | Caleb Bradford Peck | Marriage & Family Therapist | 715 W Court St, Pasco, WA 99301-4153 | 2012-04-06 |
| Street Address |
200 RETREAT AVENUE HARTFORD HOSPITAL PSYCHIATRY DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824275 | Mary Coeline Colpoys | Internal Medicine | 200 Retreat Avenue, Hartford Hospital Medicine Dept, Hartford, CT 06106-3309 | 2005-07-12 |
| 1184269409 | Jessica Kibbe Harvell | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2019-11-11 |
| 1215417381 | Andrea Sobinski | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2018-08-18 |
| 1245728799 | Hannah Levy | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept (anxiety Disorders), Hartford, CT 06106 | 2018-04-30 |
| 1326558578 | Katherine R Simeone | Counselor | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2017-10-02 |
| 1740709443 | Morgan Lee Madore | Nurse Practitioner | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2017-09-13 |
| 1265964415 | Elyse R Rosenberg | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3390 | 2017-03-28 |
| 1598209124 | Adrienne R Allen | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2016-12-16 |
| 1366984338 | Brianna Marie Blake | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 | 2016-11-08 |
| 1073060661 | Laura S Dodge | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542436 | Diana Kolcz | Clinical Neuropsychologist | 200 Retreat Ave, Hartford, CT 06102-3101 | 2020-09-14 |
| 1871020974 | Kristin E Slyne | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2017-05-19 |
| 1629404017 | Carolina Posada | Clinical Neuropsychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2013-09-18 |
| 1871844621 | Kevin Patrick Young | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital/ Institute of Living, Hartford, CT 06106-3309 | 2012-09-19 |
| 1053660498 | Sarah Anne Raskin | Clinical Neuropsychologist | 300 Summit St, Hartford, CT 06106-3100 | 2012-08-30 |
| 1205009537 | Cristina Laura Ciocca | Clinical Neuropsychologist | 85 Seymour St, Suite 803, Hartford, CT 06106-5501 | 2008-04-08 |
| 1053432450 | Corinne Elizabeth Harrington | Clinical Neuropsychologist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2007-04-03 |
| 1245347707 | Fiona C Kehoe | Clinical Neuropsychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-23 |
| 1013021393 | Howard J Oakes Jr. | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 | 2006-08-17 |
| 1104930494 | Joseph F Kulas | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-17 |
| Find all providers in HARTFORD | ||||
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| 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.