Alexander Peck

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28590 Issued in MN

Practice address

99-149 Moanalua Rd Ste 201
Aiea, HI 96701-4001

Phone

(808) 465-2771

NPI assigned

Aug 17, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dynamic Family Therapy LLC

  • Marriage & Family Therapist
  • Aiea, HI
  • NPI 1659974400
  Medicare reassignment

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1316720717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 HAWAII KAI DR APT F25",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253146",
            "telephone_number": "952-356-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-149 MOANALUA RD STE 201",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014001",
            "telephone_number": "808-465-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Stewart Payoyo
• Pearl City Medical Associates, Inc.
• Pearlridge Dental Care, LLC (Pearlridge Dental Care)
• Pearlridge Dental Group Inc.
• Pearlridge Psychological Services, LLC
• Joel Spencer Peck, M.D.
• Pedodontic Associates, Inc
• Princess Knight Pegram, BCBA, LBA
• Diane Yoshie Peich, MFT
• Stevan Peich, MSCP-MFT

• Clinical Social Worker in Aiea, HI
• Providers in Aiea, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.