DR. TUCKER PECK PH.D.
NPI 1205291440
Psychologist - Clinical in Alameda, CA

Q: What is Tucker Peck's NPI number?

The NPI number for Tucker Peck is 1205291440. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Q: What is Tucker Peck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tucker Peck was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2015PECOS EnrolledAccepts Medicare Assignment

2103 SAN JOSE AVE, ALAMEDA, CA 94501(520) 485-9411(844) 227-8699 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Dec 15, 2015 (2 updates tracked since 2015).

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About Dr. Tucker Peck Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TUCKER PECK PH.D. (NPI 1205291440) is an individual clinical provider in Alameda, California, licensed in Arizona (4688) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205291440

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TUCKER PECKCredential: PH.D.

Location Address2103 SAN JOSE AVEAlameda, CA 94501-4994

Mailing Address2103 San Jose Ave Unit CAlameda, CA 94501-4994 · (520) 485-9411 · Fax (844) 227-8699

Phone(520) 485-9411

Fax(844) 227-8699

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 15, 2015

Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1205291440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · 4688

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2103 SAN JOSE AVE, Alameda, CA 94501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tucker Peck Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446544019

PECOS Enrollment IDI20220221000310

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tucker Peck's NPI number?

The NPI number for Tucker Peck is 1205291440. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Tucker Peck located?

Tucker Peck practices at 2103 San Jose Ave, Alameda, CA 94501. The listed phone number is (520) 485-9411.

What is Tucker Peck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tucker Peck enrolled in Medicare?

Yes. Tucker Peck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tucker Peck was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.