Mitchell Jay Peck Eng, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

33873 Issued in CA

Practice address

120 Richardson St Unit 7
Grass Valley, CA 95945-6363

Phone

(530) 264-8838

Fax

(530) 389-3338

NPI assigned

Oct 26, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mitchell Jay Peck Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mountain Voice and Speech Therapy, PCGroup PAC ID 6406394378, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Voice and Speech Therapy PC

  • Hearing and Speech Clinic/Center
  • Grass Valley, CA
  • NPI 1609626217
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1023772936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RICHARDSON ST UNIT 7",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456363",
            "telephone_number": "530-264-8838",
            "fax_number": "530-389-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RICHARDSON ST UNIT 7",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456363",
            "telephone_number": "530-264-8838",
            "fax_number": "530-389-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK ENG",
        "first_name": "MITCHELL",
        "middle_name": "JAY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELL",
            "last_name": "PECK",
            "middle_name": "JAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark H Paye, DDS
• Nathan Brian Payne, DPM
• Katrina Elaine Paz, LCSCW
• Peace of Mind TMS PC
• Pebble Beach Dental of Grass Valley
• Amanda R Peebles, RADT
• Peers for Independence and Recovery
• Caitlin E Pell, LMFT
• Rachel Anne Pena-Roos, MSW, ACSW
• Star Penniman

• Speech-Language Pathologist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.