Individual provider Active NPI

Georgia Hooper Peek, PHD

  • Psychologist
  • Cortlandt Manor, NY
National Provider Identifier
1912915190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
005023 Issued in NY
Practice address
2127 Crompond Road
Suite 105
Cortlandt Manor, NY 10567
Phone
(914) 739-7051
Fax
(914) 739-7476
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 005023 NY Primary

Addresses

Primary practice location

2127 Crompond Road
Suite 105
Cortlandt Manor, NY 10567

Mailing address

2127 Crompond Road
Suite 105
Cortlandt Manor, NY 10567
Phone (914) 739-7051

Other identifiers 1

IdentifierTypeStateIssuer
00945226MedicaidNY

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
I20070627000424 NY Practitioner - Clinical Psychologist 6507965878 Practice locations: Cortlandt Manor, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2127 Crompond Rd
Suite 104
Cortlandt Manor, NY 10567-4328
Phone (914) 739-7051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005023NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Sports Rehabilitation PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: georgia.hooperpeek@direct.hvhc.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912915190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 CROMPOND ROAD",
            "address_2": "SUITE 105",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-7051",
            "fax_number": "914-739-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 CROMPOND ROAD",
            "address_2": "SUITE 105",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-7051",
            "fax_number": "914-739-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER PEEK",
        "first_name": "GEORGIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00945226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.