Active NPIIndividual providerSole proprietor

Mr. Jason R Peck, MA, CAGS

Psychologist, School in Worcester, Massachusetts

NPI Number1154557270
Practice location
8 Barr St, Worcester, MA 01602-1804
Fax
—
Last updated
June 3, 2009

Jason Robert Peck is a Psychologist, School based in Worcester, MA. Jason Robert Peck practices in Worcester, MA and has the professional credentials of MA, CAGS. The NPI Number for Jason Robert Peck is 1154557270 and holds a License No. 378295 (MA). The current practice location address for Jason Robert Peck is 8 Barr St, Worcester, MA 01602-1804 and can be reached out via phone at 978-257-5217.

Provider Profile Details

NPI Number
1154557270
Provider Name
Jason Robert Peck
Credential
MA, CAGS
Provider Entity Type
Individual
Gender
Male
Address
8 Barr St, Worcester, MA 01602-1804
Phone Number
978-257-5217
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2009
Last Update Date
June 3, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Barr St
Worcester, MA 01602-1804
Zip
01602-1804
Phone Number
978-257-5217
Worcester, MA 01602Get directions →

Provider Business Mailing Address Details

Address
8 Barr St
Worcester, MA 01602-1804
City
Worcester
State
MA
Zip
01602-1804
Phone Number
978-257-5217

License Information

License Number
378295
License State
MA
Taxonomy
Psychologist, School · 103TS0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jason R Peck, MA, CAGS?

The NPI number of Mr. Jason R Peck, MA, CAGS is 1154557270. It was assigned on June 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason R Peck, MA, CAGS?

Mr. Jason R Peck, MA, CAGS is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in MA under license number 378295.

Where does Mr. Jason R Peck, MA, CAGS practice?

The practice location is 8 Barr St, Worcester, MA 01602-1804. The office can be reached at 978-257-5217 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154557270 directly on the NPPES registry website.

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