William Walker Peacock, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34891 Issued in TX

Practice address

1001 West Loop S
Suite 215
Houston, TX 77027-9084

Phone

(713) 621-9515

Fax

(713) 621-7015

NPI assigned

May 4, 2011

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 28, 2015 through Oct 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tarnow and Associates, P.a.

  • Specialist
  • Houston, TX
  • NPI 1891831269
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1780976159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST LOOP S",
            "address_2": "SUITE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279084",
            "telephone_number": "713-621-9515",
            "fax_number": "713-621-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEST LOOP S",
            "address_2": "SUITE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279084",
            "telephone_number": "713-621-9515",
            "fax_number": "713-621-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "WILLIAM",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Peacock, MS, CGC
• Scott Charles Peacock, M.A.
• Shanice N Peacock, MSN, APRN, FNP-C
• Taneika Peacock
• William F Peacock, MD
• Peak Diagnostics, L.L.C.
• Peak Federal Labs
• Peak Iom , LLC
• Peak Neurodiagnostics, LLC
• Peak Neuromonitoring Associates - Florida

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.