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DR. MARTI ELLEN PECK MARTI PECK, PH.D.
NPI 1710929856
Psychologist - Clinical in San Diego, CA

Active since June 12, 2006Opted out of Medicare · through Oct 1, 2027
2251 SAN DIEGO AVE, SUITE B253, SAN DIEGO, CA 92110(619) 291-9164(619) 291-9953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marti Ellen Peck Marti Peck, Ph.d. NPPES

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

DR. MARTI ELLEN PECK MARTI PECK, PH.D. (NPI 1710929856) is an individual clinical provider in San Diego, California, licensed in California (PSY12131) and active in the NPI registry since June 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710929856
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARTI ELLEN PECKCredential: MARTI PECK, PH.D.
Location Address2251 SAN DIEGO AVE, SUITE B253San Diego, CA 92110-2926
Mailing Address2251 San Diego Ave, Suite B253San Diego, CA 92110-2926 · (619) 291-9164 · Fax (619) 291-9953
Phone(619) 291-9164
Fax(619) 291-9953
Sole ProprietorYes
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710929856 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 CA · PSY12131
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.
2251 SAN DIEGO AVE, San Diego, CA 92110
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Other Names 1

Other Name (5)Martha Ellen Peck Ph.d.

Other Identifiers 1

Medicare ID-Type UnspecifiedMPCP12131CA · Psychologist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marti Ellen Peck Marti Peck, Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES

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

DR. MERIS VONJENEF DC
Chiropractor
2251 SAN DIEGO AVE, STE B105
SAN DIEGO, CA 92110
San Diego County (619) 295-9525

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 Marti Peck's NPI number?

The NPI number for Marti Peck is 1710929856. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Martha Ellen Peck Ph.D..

Where is Marti Peck located?

Marti Peck practices at 2251 San Diego Ave Suite B253, San Diego, CA 92110. The listed phone number is (619) 291-9164.

What is Marti Peck's specialty?

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

Is Marti Peck enrolled in Medicare?

No. Marti Peck has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marti Peck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.