JESSICA PECK PSYD
NPI 1750630851
Psychologist in Waldorf, MD

Active since September 05, 2012PECOS Enrolled
95.67/100
CMS Quality Rating
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602(240) 780-8254 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2022, Oct 11, 2018, Sep 26, 2018 (3 updates tracked since 2018).

About Jessica Peck Psyd NPPES

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

JESSICA PECK PSYD (NPI 1750630851) is an individual psychologist in Waldorf, Maryland, licensed in Maryland (05857) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750630851
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA PECKCredential: PSYD
Location Address3261 OLD WASHINGTON RD STE 2020Waldorf, MD 20602-3231
Mailing AddressPo Box 575Port Tobacco, MD 20677-0575 · (240) 780-8254
Sole ProprietorNo
Enumeration DateSeptember 5, 2012
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
NPI 1750630851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MD · 05857 Licensed in VA · 0810007241
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3261 OLD WASHINGTON RD STE 2020, Waldorf, MD 20602

Other Names 1

Former Name (1)Jessica Samuelson

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Peck Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.79
Improvement Activities40
Cost87.46

Other Providers at the Same Location NPPES 19

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

Speech-Language Pathologist
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Counselor (Professional)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Counselor (Mental Health)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Counselor (Professional)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Counselor (Pastoral)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Psychologist
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Nurse Practitioner (Psychiatric/Mental Health)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Nurse Practitioner (Psychiatric/Mental Health)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750630851, enumerated as an "individual" on September 05, 2012.

The provider is located at 3261 OLD WASHINGTON RD STE 2020 WALDORF, MD 20602 and the phone number is (240) 780-8254.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Providence Health Plan and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.