Pauline Yeghnazar Peck, MA, MMFT, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30478 Issued in CA

Practice address

629 State St Ste 205
Santa Barbara, CA 93101-7004

Phone

(805) 225-7374

NPI assigned

Dec 17, 2018

Sex

Female

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

• Pauline Yeghnazar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

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.

• Dr Pauline Peck Psychological Services Inc

  • Psychologist
  • Santa Barbara, CA
  • NPI 1467028076
  NPD Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1043782980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 STATE ST STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017004",
            "telephone_number": "805-225-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 STATE ST STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017004",
            "telephone_number": "805-225-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Garden St Apt J",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931011269",
            "country_code": "US",
            "telephone_number": "818-355-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "PAULINE",
        "middle_name": "YEGHNAZAR",
        "credential": "MA, MMFT, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "YEGHNAZAR",
            "credential": "MA, MMFT, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Pearce, LCSW
• Alexandra Quinn Marin Pearson, MSN, PMHNP-BC
• Dairine Mary Pearson
• Lanea Pearson
• Steven Wayne Pearson, MD
• Kathryn Pederson
• Pediatric Subspecialty Network Inc.
• Pedram Rashti, MD, Inc
• Miguel Pedroza, M.D
• Peerbuddies

• Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.