Individual provider Active NPI

Theresa Anne Peca, PH.D.

  • Counseling Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1881786143
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
009909 Issued in NY
Practice address
120 West Ave Ste 214
Saratoga Springs, NY 12866
Phone
(518) 331-0234
NPI assigned
Sep 28, 2006
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 009909 NY Primary

Addresses

Primary practice location

120 West Ave Ste 214
Saratoga Springs, NY 12866

Mailing address

120 West Ave Ste 214
Saratoga Springs, NY 12866-6077
Phone (518) 331-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000034 NY Practitioner - Clinical Psychologist 4183720238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009909NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince Sep 9, 2016 Accepting new patients
Peca Psychologist PLLC CurrentSince Apr 14, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Sep 9, 2016 Accepting new patients
R.G. Psychological Services, P.C. Counseling Past Accepting new patients

Locations

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 743-2228

820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231

120 West Ave
Ste 214
Saratoga Springs, NY 12866
Phone (518) 331-0234

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1881786143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEST AVE STE 214",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666077",
            "telephone_number": "518-331-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST AVE STE 214",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-331-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECA",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.