Megan Peck, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23248 Issued in CA

Practice address

KC Kids
1220 E. Washington Ave
Reedley, CA 93654

Phone

(559) 305-7130

NPI assigned

Dec 4, 2007

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)

Not enrolled

Practice roles

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.

• KC-Kids Stars

  • Community/Behavioral Health Agency
  • Reedley, CA
  • NPI 1083978779
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1366624074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E LOCUST AVE STE 171",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202928",
            "telephone_number": "559-288-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KC KIDS",
            "address_2": "1220 E. WASHINGTON AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "93654",
            "telephone_number": "559-305-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 E Locust Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202928",
            "country_code": "US",
            "telephone_number": "559-288-0311",
            "fax_number": "559-478-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Dale Otto, DDS
• Outpatient and Specialty Center at Sierra Kings District Hospital
• Yanira Leticia Pacheco, NP
• Maria Elena Padron, LMFT
• Jonathan Park
• Raymond J Pena, M.D.
• Elibett Perez, L.V.N.
• Emily Peters
• Jacob Kenneth Peters, MD
• Marla Peterson, FNP/PA-C

• Psychologist in Reedley, CA
• Providers in Reedley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.