NPIMap

Organization Active NPI

James a Peck Psy D a Psychological Corporation

  • Psychologist
  • Santa Monica, CA
National Provider Identifier
1184916397
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19076 Issued in CA
Legal business name
JAMES A PECK PSY D A PSYCHOLOGICAL CORPORATION
Practice address
2730 Wilshire Blvd.
Suite 650
Santa Monica, CA 90403-4746
Phone
(310) 838-7378
Fax
(310) 828-7399
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
James Albert Peck, PSY.D.
Title
Clinical Psychologist/Owner
Phone
(310) 828-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY19076 CA Primary

Addresses

Primary practice location

2730 Wilshire Blvd.
Suite 650
Santa Monica, CA 90403-4746

Mailing address

2730 Wilshire Blvd.
Suite 650
Santa Monica, CA 90403-4746
Phone (310) 838-7378

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1184916397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD.",
            "address_2": "SUITE 650",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034746",
            "telephone_number": "310-838-7378",
            "fax_number": "310-828-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD.",
            "address_2": "SUITE 650",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034746",
            "telephone_number": "310-838-7378",
            "fax_number": "310-828-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A PECK PSY D A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "310-828-7378",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.