DR. PEGGY PACK PH.D.
NPI 1740264639
Psychologist - Clinical in Little Rock, AR

Q: What is Peggy Pack's NPI number?

The NPI number for Peggy Pack is 1740264639. It was assigned to this individual provider in the NPPES registry on December 3, 2005.

Q: What is Peggy Pack'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 Peggy Pack was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 03, 2005PECOS EnrolledAccepts Medicare Assignment

802 N UNIVERSITY AVE, LITTLE ROCK, AR 72205(501) 420-2434(888) 388-5166 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Peggy Pack Ph.d. NPPES

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

DR. PEGGY PACK PH.D. (NPI 1740264639) is an individual clinical provider in Little Rock, Arkansas, licensed in Arkansas (11-11P) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1991).

NPPES Registry Identity

NPI1740264639

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PEGGY PACKCredential: PH.D.

Location Address802 N UNIVERSITY AVELittle Rock, AR 72205-2920

Mailing Address802 N University AveLittle Rock, AR 72205-2920 · (501) 420-2434 · Fax (888) 388-5166

Phone(501) 420-2434

Fax(888) 388-5166

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1991

Enumeration DateDecember 3, 2005

Last NPPES UpdateJuly 23, 2014

✔ NPI 1740264639 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 AR · 11-11P✔ Licensed in KY · 0785

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.

802 N UNIVERSITY AVE, Little Rock, AR 72205

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Other Identifiers 12

Other5V939AR · Ar Bcbs

Other12020012900AR · Qualchoice

Medicaid190865719AR

Other11386583AR · Healthlink

Medicare UPIN335682AR

Medicare UPIN7692KY

Other000000033491KY · Anthem

Other13386583AR · Healthlink

OtherHUKY0818KY · Corphealth

Medicare ID-Type Unspecified0769201KY · Provider Id

OtherP01014233AR · Rr Medicare

Other1200633KY · Cha

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

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. Peggy Pack 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 ID2769403708

PECOS Enrollment IDI20111212000923

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 72205 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 5

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

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