Linnus S. Pecaut, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3762 Issued in AZ

Practice address

4222 E Camelback Rd
230H
Phoenix, AZ 85018-2745

Phone

(602) 852-0911

NPI assigned

Apr 12, 2007

Sex

Male

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1447474440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40204 N 110TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852624963",
            "telephone_number": "480-595-0731",
            "fax_number": "480-595-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 E CAMELBACK RD",
            "address_2": "230H",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182745",
            "telephone_number": "602-852-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 W Bell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853083468",
            "country_code": "US",
            "telephone_number": "480-353-7354",
            "fax_number": "480-935-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECAUT",
        "first_name": "LINNUS",
        "middle_name": "S.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Agustin Peart, MSW
• Timothy Alexander Pease, BCBA
• Pamela Barbour Peat, CNP
• Eric M Peay, DDS DOCTOR OF DENTAL
• Melissa Pecak, FNP-C
• Danae Pechac
• Hailey Pechan, PCD, CD (DONA)
• Peck Family Dentistry, PC
• Amy Michele Peck, MSED
• Hillary K Peck, DDS

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.