Joel Peck MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JOEL PECK MD INC

Practice address

99-115 Aiea Heights Dr
Suite 219a
Aiea, HI 96701-3924

Phone

(808) 485-5855

NPI assigned

Jul 1, 2006

Last updated

Jul 1, 2011By 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. Joel S. Peck, M.D.NPI 1760414049

Title

President

Phone

(808) 256-8800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Spencer Peck, M.D.

  • Geriatric Psychiatry Physician
  • Aiea, HI
  • NPI 1760414049
  Medicare reassignment Authorized official
• Joanne Humphreys, LMFT

  • Marriage & Family Therapist
  • Aiea, HI
  • NPI 1154727170
  NPD
• Joan Shirley Parker-Dias, RNC

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1285884361
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1932138096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY",
            "address_2": "SUITE 210-307",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009",
            "telephone_number": "808-256-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR",
            "address_2": "SUITE 219A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013924",
            "telephone_number": "808-485-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL PECK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-256-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jackson Johns
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• Christine Johnson
• Codie Johnson

• Psychiatry Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.