STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC
NPI 1912365651
Preferred Provider Organization in San Diego, CA

Active since February 09, 2016
4370 LA JOLLA VILLAGE DR STE 400, SAN DIEGO, CA 92122(619) 573-5073(619) 315-0448 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Knatz Peck, Phd Psychological Services Inc NPPES

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

STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC (NPI 1912365651) is a healthcare organization registered as a preferred provider organization in San Diego, California and active in the NPI registry since February 2016. The organization lists Stephanie Knatz Peck, Chief Executive Officer,psychologis, as its authorized official.

NPPES Registry Identity

NPI1912365651
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSTEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC
Location Address4370 LA JOLLA VILLAGE DR STE 400San Diego, CA 92122-1251
Mailing Address4370 La Jolla Village Dr Ste 400San Diego, CA 92122-1251 · (619) 573-5073 · Fax (619) 315-0448
Fax(619) 315-0448
Organization SubpartNo
Authorized OfficialStephanie Knatz PeckChief Executive Officer,psychologis · (619) 573-5073
Enumeration DateFebruary 9, 2016
NPI 1912365651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in CA · PSY26162
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4370 LA JOLLA VILLAGE DR STE 400, San Diego, CA 92122

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
4370 LA JOLLA VILLAGE DR STE 400, MINDFUL PSYCHOTHERAPY, INC.
SAN DIEGO, CA 92122

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 Stephanie Knatz Peck, Phd Psychological Services Inc's NPI number?

The NPI number for Stephanie Knatz Peck, Phd Psychological Services Inc is 1912365651. It was assigned to this organization in the NPPES registry on February 9, 2016.

Where is Stephanie Knatz Peck, Phd Psychological Services Inc located?

Stephanie Knatz Peck, Phd Psychological Services Inc is located at 4370 La Jolla Village Dr Ste 400, San Diego, CA 92122. The listed phone number is (619) 573-5073.

What is Stephanie Knatz Peck, Phd Psychological Services Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Knatz Peck, Phd Psychological Services Inc was last updated on February 9, 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.