MR. MICHAEL PECK (NPI# 1861823353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861823353 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PECK |
| Credential | CSC-AD |
| Practice Address |
122 1st St Chestertown MD 21620-1983 |
| Practice Telephone | 4107785044 |
| Practice Fax Number | 4107787052 |
| Mailing Telephone | 4107785044 |
| Mailing Fax Number | 4107787052 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC0530 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637130 | Michael Stephan Peck | Chiropractor | 660 W 7th St, San Pedro, CA 90731-3118 | 2006-10-25 |
| 1023026176 | Michael Lloyd Peck | Optometrist | 517 W Maine Ave, Enid, OK 73701-5542 | 2006-08-04 |
| 1881629806 | Michael J Peck | Chiropractor | 1530 Avenue O, Huntsville, TX 77340-4452 | 2006-07-11 |
| 1477193597 | Michael Andrew Peck | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-01-07 |
| 1265825988 | Michael Lawrence Peck | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2015-03-05 |
| 1770712424 | Michael Scott Peck | Podiatrist | 1155 Kelly Johnson Blvd, #310, Colorado Springs, CO 80920-3932 | 2009-07-02 |
| 1881801017 | Michael Wayne Peck | Specialist/Technologist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2007-05-17 |
| 1255543146 | Michael A. Peck | Dentist | 5038 Tennyson Pkwy, Suite A, Plano, TX 75024-2954 | 2007-05-04 |
| 1740328491 | Michael L Peck | Psychologist | 10642 Santa Monica Blvd, Los Angeles, CA 90025-4525 | 2007-02-02 |
| 1336210806 | Michael Peck | Specialist | 1130 Eagle Rock Rd, Colorado Springs, CO 80918-3906 | 2006-11-13 |
| Street Address |
122 1ST ST |
| City | CHESTERTOWN |
| State | MD |
| Zip Code | 21620-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236824 | Fletcher Darby Johnson | Health Educator | 813 High Street, Chestertown, MD 21620 | 2018-05-21 |
| 1134583818 | Chestertown Physical Therapy | Occupational Therapist | 200 Mognec Road, Chestertown, MD 21620 | 2016-04-08 |
| 1871993436 | Julia Belanger | Family Medicine | 126 Philosophers Ter Ste 200, Chestertown, MD 21620 | 2014-09-01 |
| 1841536307 | Michael C. Hickman | Physical Therapy Assistant | 415 Morgnec Rd., Chestertown, MD 21620 | 2013-01-02 |
| 1083854715 | For All Seasons, Inc. | Social Worker | 516 Washingston St, Chestertown, MD 21620 | 2009-02-20 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1912153784 | Edwin Tom Taylor | Pediatrics | 100 Brown Street Med Ser Bldg Ste 107, Chestertown, MD 21620 | 2008-08-13 |
| 1083884613 | Danielle Latricia Gomer | Clinic/Center | 606 Cannon Street, Chestertown, MD 21620 | 2008-03-11 |
| 1821276320 | James Robert Siemen | Psychologist | 300 Sheeler Road, Chestertown, MD 21620 | 2008-02-06 |
| 1326223504 | Roseannette C Cooper | Acupuncturist | 311 Rosin Drive, Chestertown, MD 21620 | 2008-01-07 |
| Find all providers in zip 21620 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306300132 | Andrew Macnamara Pons | Counselor | 315 High St Ste 201, Chestertown, MD 21620-1350 | 2019-01-25 |
| 1891249223 | Holli Davis | Counselor | 516 Washington Ave, Suite 4, Chestertown, MD 21620-1225 | 2016-08-15 |
| 1912356684 | Eastern Shore Psychological Services, LLC | Counselor | 315 High St Ste 201, Chestertown, MD 21620-1350 | 2016-06-03 |
| 1447608922 | Community Behavioral Health, LLC | Counselor | 400 S Cross St, Chestertown, MD 21620-4752 | 2016-05-25 |
| 1083035091 | Harold Powers | Counselor | 300 Scheeler Rd, Chestertown, MD 21620-1014 | 2013-12-17 |
| 1750460333 | Sarah Ann Smith-putman | Counselor | 6602 Church Hill Rd, Suit 500, Chestertown, MD 21620-2310 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1134739600 | Crystal Yolanda Mason | Counselor | 10006 Antium Way, Owings Mills, MD 21117-4069 | 2020-08-08 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1588274773 | Positive Reinforcements Inc. | Counselor | 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 | 2020-08-03 |
| 1073122511 | Rasheed Badmus | Counselor | 46 Solar Cir Apt A, Parkville, MD 21234-6831 | 2020-07-30 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTOWN |
| Zip Code | 21620 |
Please comment or provide details below to improve the information on MR. MICHAEL PECK.
| 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.