Stephen Peach

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

10726 Liberty Rd
Frederick, MD 21701-2630

Phone

(304) 582-2802

NPI assigned

Jul 29, 2014

Sex

Male

Sole proprietor

Yes

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.

• Adaptive Teaching and Learning Autism Services

  • Behavior Analyst
  • Frederick, MD
  • NPI 1073101267
  NPD Authorized official
• Grafton School, Inc.

  • Behavior Analyst
  • Charles Town, WV
  • NPI 1043674005
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2022.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1851709232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 KELLY RD",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217937315",
            "telephone_number": "304-582-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10726 LIBERTY RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217012630",
            "telephone_number": "304-582-2802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Opal Ct Ste 1004",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405934",
            "country_code": "US",
            "telephone_number": "301-703-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACH",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2022-08-11",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Payne, PHARMD
• Doreen L Paynter, CRNP
• Peace of Mind Therapeutic Services & Solutions LLC
• Peaceful Mental Health LLC
• Peaceful Mind Psychotherapy LLC
• Peak Acupuncture and Wellness, LLC
• Rose Marene Pearl, N.P.
• Pearle Vision Inc
• Devon Olivia Pearrell, LMSW
• Juliet Pearrell

• All providers in Frederick, MD
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.