Organization Active NPI

Dr Pauline Peck Psychological Services Inc

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1467028076
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR PAULINE PECK PSYCHOLOGICAL SERVICES INC
Practice address
629 State St Ste 205
Santa Barbara, CA 93101-7004
Phone
(805) 225-7374
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pauline Yeghnazar Peck, PHDNPI 1043782980
Title
Owner
Phone
(805) 225-7374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

629 State St Ste 205
Santa Barbara, CA 93101-7004

Mailing address

629 State St Ste 205
Santa Barbara, CA 93101-7004
Phone (805) 225-7374

National Provider Directory

National Provider Directory

Locations

629 State St
Ste 205
Santa Barbara, CA 93101
Phone (801) 721-2731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1467028076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 STATE ST STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017004",
            "telephone_number": "805-225-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 STATE ST STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017004",
            "telephone_number": "805-225-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAULINE PECK PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "YEGHNAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-225-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.