Pamela Sue Peckheiser, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000736 Issued in CT

Practice address

250 Post Rd E
Suite 110a
Westport, CT 06880-3616

Phone

(203) 246-0748

NPI assigned

May 17, 2012

Last updated

May 17, 2012By the provider in NPPES

Sex

Female

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

• Pamela Sue Allon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1790045383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 POST RD E",
            "address_2": "SUITE 100A",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803616",
            "telephone_number": "203-246-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POST RD E",
            "address_2": "SUITE 110A",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803616",
            "telephone_number": "203-246-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHEISER",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "ALLON",
            "middle_name": "SUE",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Marriage & Family Therapist in Westport, CT
• Providers in Westport, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.