Active NPI
Carmen Peak, PSYCHOLOGY ASSOCIATE
- Drama Therapist
- Gaithersburg, MD
National Provider Identifier
1023841418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- A0982
- Practice address
- 501 N Frederick Ave
Gaithersburg, MD 20877-2507 - Phone
- (301) 200-2434
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | A0982 | MD | Primary |
Addresses
Primary practice location
501 N Frederick Ave
Gaithersburg, MD 20877-2507
Mailing address
707 York Rd Apt 4307
Towson, MD 21204-2884
Phone (240) 439-1373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0982 | MD | MD | Drama Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1023841418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 YORK RD APT 4307",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042884",
"telephone_number": "240-439-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N FREDERICK AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772507",
"telephone_number": "301-200-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAK",
"first_name": "CARMEN",
"credential": "PSYCHOLOGY ASSOCIATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "MD",
"license": "A0982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.