Individual provider Active NPI

Denny L Peck, PH.D.

  • Psychologist
  • Tucson, AZ
National Provider Identifier
1962660498
Registry record updated May 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3966 Issued in AZ
Practice address
4732 N Oracle Rd
Suite 316
Tucson, AZ 85705-1674
Phone
(520) 887-0985
Fax
(520) 887-5338
NPI assigned
May 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3966 AZ Primary

Addresses

Primary practice location

4732 N Oracle Rd
Suite 316
Tucson, AZ 85705-1674

Mailing address

PO Box 65055
Tucson, AZ 85728-5055
Phone (520) 887-0985

Other names 1

  • Denise Lynn Peck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080701000405 AZ Practitioner - Clinical Psychologist 0547345266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4732 N Oracle Rd
316 Pbsi Behavioral Health Clinic
Tucson, AZ 85705-1674
Phone (520) 887-0985

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3966AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological and Biofeedback Services Inc CurrentSince Feb 18, 2008 Accepting new patients

Locations

4732 N Oracle Rd
Ste 316
Tucson, AZ 85705
Phone (520) 887-0985

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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212192000000",
    "number": "1962660498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65055",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857285055",
            "telephone_number": "520-887-0985",
            "fax_number": "520-887-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 N ORACLE RD",
            "address_2": "SUITE 316",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051674",
            "telephone_number": "520-887-0985",
            "fax_number": "520-887-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "DENNY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "PECK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.