Active NPI
Kristina Murphy Peck, PSY.D.
- Psychologist
- Charlotte, NC
National Provider Identifier
1801037734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3627
- Practice address
- 5970 Fairview Rd
Suite 412
Charlotte, NC 28210-3167 - Phone
- (704) 365-1844
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3627 | NC | Primary |
Addresses
Primary practice location
5970 Fairview Rd
Suite 412
Charlotte, NC 28210-3167
Mailing address
5970 Fairview Rd
Suite 412
Charlotte, NC 28210-3167
Phone (704) 365-1844
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Feb 1, 2021 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1801037734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD",
"address_2": "SUITE 412",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103167",
"telephone_number": "704-365-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD",
"address_2": "SUITE 412",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103167",
"telephone_number": "704-365-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "KRISTINA",
"middle_name": "MURPHY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.