DR. TUCKER PECK (NPI# 1205291440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205291440 |
| Entity Type | Individual |
| Full Name | DR. TUCKER PECK |
| Credential | PH.D. |
| Practice Address |
3045 N 1st Ave Ste A Tucson AZ 85719-2560 |
| Practice Telephone | 5209182020 |
| Mailing Telephone | 5209182020 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4688 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
3045 N 1ST AVE STE A |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770597114 | Liana Joy Condello | Counselor | 3045 N 1st Ave Ste A, Tucson, AZ 85719-2560 | 2006-07-29 |
| 1891338547 | Boost Counseling Services, Pllc | Counselor | 3045 N 1st Ave Ste A, Tucson, AZ 85719-2560 | 2019-10-25 |
| 1285147041 | Dev Ashish Phd Pllc | Psychologist | 3045 N 1st Ave Ste A, Tucson, AZ 85719-2560 | 2017-11-14 |
| 1396256251 | Dev Ashish | Psychologist | 3045 N 1st Ave Ste A, Tucson, AZ 85719-2560 | 2017-10-18 |
| 1528430808 | Natalie Anna George | Counselor | 3045 N 1st Ave Ste A, Tucson, AZ 85719 | 2015-10-26 |
| 1831421213 | Native Images, Inc. | Community/Behavioral Health | 3045 N 1st Ave Ste A, Tucson, AZ 85719-2560 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1992262984 | Joel Gaffney | Psychologist | Campus Health Service 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0095 | 2019-02-26 |
| 1326541905 | Anne Markey Bowen | Psychologist | 3956 W Bar Ranch Dr, Tucson, AZ 85745-9260 | 2018-03-09 |
| 1629595210 | Caroline Pyevich | Psychologist | 7743 E Cleary Way, Tucson, AZ 85715-3734 | 2017-08-24 |
| 1023460235 | Emily Tudor Strang | Psychologist | 2525 E Broadway Blvd, Tucson, AZ 85716-5398 | 2016-07-12 |
| 1730563115 | Joseph Benach | Psychologist | 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 | 2015-07-15 |
| 1114306917 | Tucson Concussion Center LLC | Psychologist | 5199 E Farness Dr, Suite 101, Tucson, AZ 85712-2134 | 2015-05-26 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.