DR. KRISTINA MURPHY PECK PSY.D.
NPI 1801037734
Psychologist in Charlotte, NC

Active since March 24, 2009Opted out of Medicare · through Feb 1, 2027
5970 FAIRVIEW RD, SUITE 412, CHARLOTTE, NC 28210(704) 365-1844 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kristina Murphy Peck Psy.d. NPPES

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

DR. KRISTINA MURPHY PECK PSY.D. (NPI 1801037734) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (3627) and active in the NPI registry since March 2009. She has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801037734
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KRISTINA MURPHY PECKCredential: PSY.D.
Location Address5970 FAIRVIEW RD, SUITE 412Charlotte, NC 28210-3167
Mailing Address5970 Fairview Rd, Suite 412Charlotte, NC 28210-3167 · (704) 365-1844
Sole ProprietorNo
Enumeration DateMarch 24, 2009
Last NPPES UpdateJanuary 20, 2016
NPI 1801037734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 3627
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.
5970 FAIRVIEW RD, Charlotte, NC 28210

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. Kristina Murphy Peck Psy.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 February 1, 2021 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2021
Opt-Out In Effect ThroughFebruary 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.

Other Providers at the Same Location NPPES 9

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

Dentist
5970 FAIRVIEW RD, STE 120
CHARLOTTE, NC 28210
Clinic/Center (Medical Specialty)
5970 FAIRVIEW RD, SUITE 215
CHARLOTTE, NC 28210
Clinic/Center
5970 FAIRVIEW RD
CHARLOTTE, NC 28210
Psychologist
5970 FAIRVIEW RD, SUITE 420
CHARLOTTE, NC 28210
Counselor (Professional)
5970 FAIRVIEW RD, 412
CHARLOTTE, NC 28210
Psychologist (Clinical)
5970 FAIRVIEW RD
CHARLOTTE, NC 28210
Dentist (Orthodontics and Dentofacial Orthopedics)
5970 FAIRVIEW RD, STE 120
CHARLOTTE, NC 28210
Dentist (General Practice)
5970 FAIRVIEW RD, SUITE 120
CHARLOTTE, NC 28210

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 Kristina Peck's NPI number?

The NPI number for Kristina Peck is 1801037734. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Kristina Peck located?

Kristina Peck practices at 5970 Fairview Rd Suite 412, Charlotte, NC 28210. The listed phone number is (704) 365-1844.

What is Kristina Peck's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kristina Peck enrolled in Medicare?

No. Kristina Peck has opted out of Medicare through February 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 Kristina Peck was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.