Natalia Peczkowska, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30266 Issued in CA

Practice address

1000 Wilshire Blvd Ste 240
Los Angeles, CA 90017

Phone

(424) 201-1600

NPI assigned

Aug 20, 2014

Last updated

Aug 9, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1215336748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 AIRPORT DR STE 135",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056140",
            "telephone_number": "657-205-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILSHIRE BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "424-201-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Airport Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056140",
            "country_code": "US",
            "telephone_number": "424-201-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECZKOWSKA",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur W Peck, DDS
• Kaitlyn Peck
• Kelly Peck, MPT
• Michael L Peck, PHD
• Sarah Peck, RN, IBCLC
• Ryan C Ped, NP
• Pirayeh Pedarsani, RD, RD
• John Pedersen, DDS
• Natalie A Pederson
• Paola Pederzoli-Carrillo, NP

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.