Michael Peck, CSC-AD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SC0530 Issued in MD

Practice address

122 1St St
Chestertown, MD 21620-1983

Phone

(410) 778-5044

Fax

(410) 778-7052

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1861823353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 1ST ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201983",
            "telephone_number": "410-778-5044",
            "fax_number": "410-778-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 1ST ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201983",
            "telephone_number": "410-778-5044",
            "fax_number": "410-778-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CSC-AD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "SC0530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Paquet, P.T.
• Christopher F Parry, D.O.
• Paul R Johnson Mdfacspc
• Jennifer Paul, PT, DPT
• Alan H Peck, MD
• Fran Peimer, S.L.P.
• Michael E Peimer, M.D.
• Michael Rafferty Pelczar, DDS
• April Ewing Peresian, CRNP- FNP
• Deborah A Piez, LCPC

• Addiction (Substance Use Disorder) Counselor in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.