JANE PECK
NPI 1477107597
Counselor - Mental Health in Staten Island, NY
Active since July 26, 2019
About Jane Peck NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANE PECK (NPI 1477107597) is an individual mental health provider in Staten Island, New York and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1477107597
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJANE PECK
Location Address2460 VICTORY BLVDStaten Island, NY 10314-6612
Mailing Address184 Gurley AveStaten Island, NY 10308-1505 · (929) 260-1363
Phone(917) 781-0041
Sole ProprietorNo
Enumeration DateJuly 26, 2019
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1477107597 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2460 VICTORY BLVD, Staten Island, NY 10314
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Speech-Language Pathologist
2460 VICTORY BLVD
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477107597, enumerated as an "individual" on July 26, 2019.
The provider is located at 2460 VICTORY BLVD STATEN ISLAND, NY 10314 and the phone number is (917) 781-0041.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.