Ella H Pecsok, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810001737 Issued in VA

Practice address

2302 Colonial Ave SW Ste G2
Roanoke, VA 24015-3100

Phone

(757) 375-5252

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Neuropsych Roanoke LLC

  • Clinical Psychologist
  • Roanoke, VA
  • NPI 1942187430
  Medicare reassignment NPD Authorized official
• TMS Neurohealth Centers Virginia Beach, LLC

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1376930685
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1780695064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 COLONIAL AVE SW STE G2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153100",
            "telephone_number": "757-375-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COLONIAL AVE SW STE G2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153100",
            "telephone_number": "757-375-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECSOK",
        "first_name": "ELLA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "810001737",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007705484",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Pearlman, MD
• Devon Pearson, BA, BCBA, LBA
• Glenn Isaac Pearson, CRNA
• Megan Pearson
• Theodore J Pearson III, M.D.
• Jason Andrew Peery, PA-C
• Ruth Ellen Peevey, NP-C
• Patrick Joseph Pekala, PHARMD
• Seth Joseph Pekoe, DO
• Amelia F Pelfrey

• Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.