Joanne Pecuch, LCSW, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7759 Issued in FL

Practice address

6810 N State Road 7 Ste 124
Coconut Creek, FL 33073-4304

Phone

(305) 807-1313

NPI assigned

Mar 13, 2007

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Family Treatment

  • Community/Behavioral Health Agency
  • Boca Raton, FL
  • NPI 1912320417
  NPD (past) Authorized official
• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  NPD (past)
• Pacific Resources Psychological Group

  • Group Psychotherapy Psychologist
  • Long Beach, CA
  • NPI 1679665939
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1871626648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 NW 66TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671415",
            "telephone_number": "305-807-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 N STATE ROAD 7 STE 124",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "305-807-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECUCH",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "LCSW,  PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8568",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Parra, BCBA
• Nicole Patalano
• Jasmine Patino
• Sandra Payoute
• Peak Wellness Collective LLC
• Pediatric Specialty Group, Inc (Nicklaus Children's Coconut Creek Care Center)
• Nya Pelle
• Elle Peltcs
• Sara Stevia Pena, LMHC, CAP
• Reginald Perard, APRN

• Clinical Psychologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.