Lawrence J Peacock, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

051738 Issued in CT

Practice address

145 E 32ND St FL 9
New York, NY 10016-6060

Phone

(212) 535-0822

Fax

(212) 249-3582

NPI assigned

May 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Harvest Healthcare LLC

  • Clinical Social Worker
  • Avon, CT
  • NPI 1477712917

  Psychiatry

  Medicare reassignment NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Psychiatry

  Medicare reassignment NPD
• Southeastern Council on Alcoholism and Drug Dependence Inc

  • Substance Abuse Rehabilitation Facility
  • Lebanon, CT
  • NPI 1003960022
  Medicare reassignment NPD
• Prospect Manchester Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1316394638
  Medicare reassignment
• Prospect Rockville Hospital, Inc.

  • General Acute Care Hospital
  • Vernon, CT
  • NPI 1205283538
  Medicare reassignment
• Albert Ellis Institute

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1538211842
  NPD
• Mill Hill Medical Consultants Inc

  • Hospitalist Physician
  • New Haven, CT
  • NPI 1952624769
  NPD
• Southeastern Council on Alcoholism and Drug Dependence Inc

  • Primary Care Clinic/Center
  • New London, CT
  • NPI 1750256806
  NPD
• Eastern Connecticut Medical Professionals Foundation, Inc

  • Specialist
  • South Windsor, CT
  • NPI 1497864516
  NPD (past)

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1902064173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 32ND ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166060",
            "telephone_number": "212-535-0822",
            "fax_number": "212-249-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 32ND ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166060",
            "telephone_number": "212-535-0822",
            "fax_number": "212-249-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "051738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902064173",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjelica Peacock, MD
• Cathleen Peacock, MSW
• Christopher Peacock, L.AC.
• Jacqueline Peacock
• James Peacock, M.D.
• Matthew Peacock, MD
• Peak Dynamics Physical Therapy PC
• Peak Meridian Physical Therapy and Acupuncture, PLLC
• Peak Outcomes, LLC
• Peak Woo MD, PLLC

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.