Judith Stern Peck, M.S.W,

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

R021795-1 Issued in NY

Practice address

952 5TH Ave
New York, NY 10075-1740

Phone

(212) 794-1496

NPI assigned

Jan 29, 2012

Last updated

Jan 29, 2012By 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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327795200000",
    "number": "1417229071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 5TH AVE APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751749",
            "telephone_number": "212-794-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751740",
            "telephone_number": "212-794-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JUDITH",
        "middle_name": "STERN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-29",
        "last_updated": "2012-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "R021795-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Pechtol, MS-SLP
• Allison Maree Peck, LCSW, MA, MSW, BBA
• Danielle Peck
• Elizabeth Peck, OTR/L
• Emily Peck
• Kara Nicole Peck, PA-C
• Linda S Peck, LCAT
• Rochelle L Peck, MD
• Sara Peck
• Spencer Paul Peck

• Marriage & Family Therapist in New York, NY
• Providers in New York, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.