Stephanie Knatz Peck, PHD Psychological Services Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

PSY26162 Issued in CA

Legal business name

STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC

Practice address

4370 La Jolla Village Dr Ste 400
San Diego, CA 92122-1251

Phone

(619) 573-5073

Fax

(619) 315-0448

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Knatz Peck, PHD

Title

Chief Executive Officer,Psychologis

Phone

(619) 573-5073

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1912365651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 LA JOLLA VILLAGE DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221251",
            "telephone_number": "619-573-5073",
            "fax_number": "619-315-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 LA JOLLA VILLAGE DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221251",
            "telephone_number": "619-573-5073",
            "fax_number": "619-315-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "KNATZ PECK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER,PSYCHOLOGIS",
        "authorized_official_telephone_number": "619-573-5073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "PSY26162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Stenzel
• Brian Aaron Stenzler, D.C.
• Audrey Fallon Stephan, MD
• Stephanie a Massey
• Stephanie Knatz Peck PHD Psychological Services Inc (BrightMind Therapy)
• Stephanie L. Sanders, Licensed Clinical Social Worker, Inc.
• Stephanie Ma, MD Inc.
• Stephanie W Yen MD - a Medical Corporation
• Nora L. Stephany, PA
• Theresa M Stephany, RN

• Preferred Provider Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.