DR. PAMELA NAN PECK (PSY.D.) – Clinical Psychologist, NPI 1659307635

DR. PAMELA NAN PECK (PSY.D.) is a healthcare provider. based in Wellesley, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 4874 (MA). The NPI Number for DR. PAMELA NAN PECK (PSY.D.) is 1659307635

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAMELA NAN PECK (PSY.D.)
NPI
1659307635
Phone
(617) 667-0651
Address
37 ELM ST
Enumeration Date
23 June 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
0840325098
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20100313000026
Address ID
MA022155400Bo330XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. PAMELA NAN PECK (PSY.D.)

  • 37, Elm Street, Wellesley Farms, Wellesley, Norfolk County, Massachusetts, 02481-3120, United States

    WELLESLEY, MA 024813106

    Phone: (617) 667-0651

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100313000026IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02481)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486567104View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. PAMELA NAN PECK (PSY.D.) using NPI 1659307635?
NPI 1659307635 belongs to DR. PAMELA NAN PECK (PSY.D.); compare other details if you need extra assurance.
Is there an active status for DR. PAMELA NAN PECK (PSY.D.)?
For scheduling context, DR. PAMELA NAN PECK (PSY.D.) is shown as active in the registry.
What kind of doctor is DR. PAMELA NAN PECK (PSY.D.)?
DR. PAMELA NAN PECK (PSY.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. PAMELA NAN PECK (PSY.D.) registered?
Use Wellesley, Massachusetts as the headline location for DR. PAMELA NAN PECK (PSY.D.) here.
When was this NPI issued?
Enumeration for DR. PAMELA NAN PECK (PSY.D.) is noted as June 23, 2006 where the registry provides it.

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