DR. EVELYN ANNE PECK PH.D.
NPI 1629272984
Psychologist - Clinical in Bowling Green, KY

Active since June 12, 2007
948 ELM ST STE 2, BOWLING GREEN, KY 42101(270) 266-1188 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Apr 6, 2021 (2 updates tracked since 2021).

About Dr. Evelyn Anne Peck Ph.d. NPPES

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

DR. EVELYN ANNE PECK PH.D. (NPI 1629272984) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (297688) and active in the NPI registry since June 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629272984
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EVELYN ANNE PECKCredential: PH.D.
Location Address948 ELM ST STE 2Bowling Green, KY 42101-2277
Mailing Address948 Elm St Ste 2Bowling Green, KY 42101-2277 · (270) 266-1188 · Fax (270) 908-2880
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1629272984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in KY · 297688 Licensed in CA · PSY18687
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.
948 ELM ST STE 2, Bowling Green, KY 42101

Other Names 1

Former Name (1)Dr. Evelyn Anne De Villiers

Secondary Practice Locations 2

Location 1153 Pioneer Ln Ste BBishop, CA 93514-2517 · Phone (760) 873-2849
Location 29255 Towne Centre Dr, Suite 875San Diego, CA 92121-3033 · Phone (858) 824-9458 · Fax (858) 455-5556

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Counselor (Professional)
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Counselor (Professional)
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Counselor (Professional)
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Social Worker (Clinical)
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Counselor (Professional)
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Counselor
948 ELM ST STE 2
BOWLING GREEN, KY 42101
Psychologist
948 ELM ST STE 2
BOWLING GREEN, KY 42101

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 Evelyn Peck's NPI number?

The NPI number for Evelyn Peck is 1629272984. It was assigned to this individual provider in the NPPES registry on June 12, 2007. The provider is also known as Dr. Evelyn Anne De Villiers.

Where is Evelyn Peck located?

Evelyn Peck practices at 948 Elm St Ste 2, Bowling Green, KY 42101. The listed phone number is (270) 266-1188.

What is Evelyn Peck's specialty?

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

When was this NPI record last updated?

The NPPES record for Evelyn Peck was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.