Ivy Peckman, M.S. ED., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011825-01 Issued in NY

Practice address

1310 Rockaway Pkwy
Brooklyn, NY 11236-2339

Phone

(718) 942-3400

NPI assigned

Nov 7, 2017

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1972016467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362339",
            "telephone_number": "718-942-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362339",
            "telephone_number": "718-942-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKMAN",
        "first_name": "IVY",
        "credential": "M.S. ED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "2708534",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011825-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentina Pechevaya, DDS
• Eva Jane Peck, MHC-LP
• Tobi Elizabeth Peck, L.CSW
• Rachel Peckerman
• Karissa Peckham
• Alfred A. Pecora, DC
• Maria Nancy Pecora, DPM
• Peter Anthony Pecoraro, PHARMD
• Maria Pedalino, OD
• Ronald P. Pedalino, M.D.

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.