Active NPI
Libby A Peachey, PSYD
- Clinical Psychologist
- Oceanside, CA
National Provider Identifier
1083844708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005143
- Practice address
- 200 Mercy Circle
Oceanside, CA 92055 - Phone
- (760) 725-4357
- NPI assigned
- Jul 15, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005143 | VA | Primary |
Addresses
Primary practice location
200 Mercy Circle
Oceanside, CA 92055
Mailing address
200 Mercy Circle
Oceanside, CA 92055
Other practice location 1
PSC 476 Box 648
Fpo, AP 96322-0007
Phone 01181956502071 ext. 2071
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 |
|---|---|---|---|
| 0810005143 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NH Camp Pendleton | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Military General Acute Care Hospital
- Camp Pendleton, CA
- NPI 1386604387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1083844708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-4357"
}
],
"practiceLocations": [
{
"address_1": "PSC 476 Box 648",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "963220007",
"country_code": "US",
"telephone_number": "01181956502071 x2071",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "PEACHEY",
"first_name": "LIBBY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.