Active NPI
Peter S. Larkin, M.A.
- School Psychologist
- Palm Coast, FL
National Provider Identifier
1063680080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS 410
- Practice address
- 126 Colechester LN
Palm Coast, FL 32137-9000 - Phone
- (386) 445-4236
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS 410 | FL | Primary |
Addresses
Primary practice location
126 Colechester LN
Palm Coast, FL 32137-9000
Mailing address
126 Colechester LN
Palm Coast, FL 32137-9000
Phone (386) 445-4236
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS 410 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1063680080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 COLECHESTER LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321379000",
"telephone_number": "386-445-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 COLECHESTER LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321379000",
"telephone_number": "386-445-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "PETER",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS 410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.