Tamatha Peck, MASTER OF ARTS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023515 Issued in NY

Practice address

20 Terrace Cir Apt 8C
Great Neck, NY 11021-4182

Phone

(516) 302-5379

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1083144737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TERRACE CIR APT 8C",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214182",
            "telephone_number": "516-302-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TERRACE CIR APT 8C",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214182",
            "telephone_number": "516-302-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "TAMATHA",
        "credential": "MASTER OF ARTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005758",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Behfarin MD PC
• Paul Kechijian, MD, PC
• Elizabeth Anne Paul, DO
• Paula M Okin Dba North Shore Speech & Language Associates (North Shore Speech and Language Asscoaites)
• Pavo Cristatus Medical PC
• Annabelle Josephine Pecora
• Pediatric Dentistry Community Drive Great Neck PC
• Pediatric Occupational Therapy of Ny, PC
• Pediatric Ophthalmology of Greater Ny, PC
• Consuelo Pedro

• Speech-Language Pathologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.