Organization Active NPI

Psychological and Biofeedback Services Inc

Doing business as Pbsi

  • Counseling Psychologist
  • Tucson, AZ
National Provider Identifier
1871694281
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
274 Issued in AZ
Legal business name
PSYCHOLOGICAL AND BIOFEEDBACK SERVICES INC
Doing business as
Pbsi
Practice address
4732 N Oracle Rd
Suite 316
Tucson, AZ 85705-1674
Phone
(520) 887-0985
Fax
(520) 887-5338
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Denny L Peck, PH.D.NPI 1962660498
Title
Administrator
Phone
(520) 887-0985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 274 AZ Primary

Addresses

Primary practice location

4732 N Oracle Rd
Suite 316
Tucson, AZ 85705-1674

Mailing address

4732 N Oracle Rd
Suite 316
Tucson, AZ 85705-1674
Phone (520) 887-0985

Other names 1

  • PBSI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000714 AZ Part B Supplier - Clinic/Group Practice 7517041676 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

4732 N Oracle Rd
Ste 316
Tucson, AZ 85705
Phone (520) 887-0985

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1871694281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 N ORACLE RD",
            "address_2": "SUITE 316",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051674",
            "telephone_number": "520-887-0985",
            "fax_number": "520-887-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 N ORACLE RD",
            "address_2": "SUITE 316",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051674",
            "telephone_number": "520-887-0985",
            "fax_number": "520-887-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL AND BIOFEEDBACK SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-887-0985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBSI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.