John Peltz, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

022207-1 Issued in NY

Practice address

155 Gregory Hill Rd
Rochester, NY 14620-2403

Phone

(585) 434-7600

NPI assigned

Mar 26, 2026

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

Other names 1

• Jack Peltz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1720927411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GREGORY HILL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GREGORY HILL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202403",
            "telephone_number": "585-434-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "022207-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "PELTZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori Jeanne Peloquin, PHD
• Darlene Marie Pelow-Sullivan, LMSW
• Matthew Pelowski
• Pelpari Corp
• Stephen L Pelton, MD
• Sarah Peltz
• Charmaine Pemberton, LPN
• Alice M Pena
• Kristy Pena
• Venkata Satish Pendela

• Clinical Child & Adolescent Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.