Individual provider Active NPI

Fred Edgar Winfield Peipman, PHD

  • Counseling Psychologist
  • Palo Alto, CA
National Provider Identifier
1528056686
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
26578 Issued in CA
Practice address
560 Oxford Ave
Room 1
Palo Alto, CA 94306-1153
Phone
(970) 799-1178
Fax
(970) 799-1178
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 26578 CA Primary
Cognitive & Behavioral Psychologist 103TB0200X 3004 CO

Addresses

Primary practice location

560 Oxford Ave
Room 1
Palo Alto, CA 94306-1153

Mailing address

1759 43Rd Ave
San Francisco, CA 94122-4009
Phone (970) 799-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3004COMDCognitive & Behavioral Psychologist
26578CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Lapinski PH D P a Past Accepting new patients
Neuroscience Center of Boca Raton Inc Past Accepting new patients
Winfield Consulting, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1528056686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 43RD AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224009",
            "telephone_number": "970-799-1178",
            "fax_number": "970-799-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OXFORD AVE",
            "address_2": "ROOM 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061153",
            "telephone_number": "970-799-1178",
            "fax_number": "970-799-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIPMAN",
        "first_name": "FRED",
        "middle_name": "EDGAR WINFIELD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "26578",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "3004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.