DR. CALEB PAUL PECK (PSYD) – Clinical Neuropsychologist, NPI 1750699070

DR. CALEB PAUL PECK (PSYD) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 003313 (CT). The NPI Number for DR. CALEB PAUL PECK (PSYD) is 1750699070

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. CALEB PAUL PECK (PSYD)
NPI
1750699070
Phone
(860) 545-7602
Address
PO BOX 415933
Enumeration Date
21 September 2010
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608897274
Graduation Year
2011 (15 years ago)
PAC ID
5890921563
Group Practice PAC ID
9638494446
Professional Enrollment ID
I20131202001796
Address ID
CT063602116NO150XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

Provider Addresses for DR. CALEB PAUL PECK (PSYD)

  • PO BOX 415933

    HARTFORD HOSPITAL PROFESSIONAL SERVICES

    BOSTON, MA 022415933

    Phone: (860) 545-7602

    Type: Mailing

  • 200 RETREAT AVENUE

    HARTFORD HOSPITAL PSYCHIATRY DEPT

    HARTFORD, CT 061063310

    Phone: (860) 545-7940

    Type: Location

  • 200 Retreat Avenue

    Hartford Hospital Psychiatry Dept

    Hartford, CT 061063310

    Phone: (860) 545-7940

    Type: Location

  • 150 OTROBANDO AVE

    NORWICH, CT 063602116

    Phone: (860) 889-7274

    Fax: (860) 889-2131

    Type: Mailing

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: 2013-12-02

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
I20131202001796IClinical PsychologistCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes25432$0
96132Evaluation of neuropsychological test, first hour6538$0
96133Evaluation of neuropsychological test, each additional hour5732$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes3232$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 9638494446View full group profile
NameSpecialtyState
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistMI
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT

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Frequently asked questions

What is DR. CALEB PAUL PECK (PSYD)'s NPI number?
DR. CALEB PAUL PECK (PSYD)'s NPI is 1750699070 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. CALEB PAUL PECK (PSYD)?
For scheduling context, DR. CALEB PAUL PECK (PSYD) is shown as active in the registry.
How would a patient describe DR. CALEB PAUL PECK (PSYD)'s focus?
For DR. CALEB PAUL PECK (PSYD), the primary taxonomy reads as Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Is DR. CALEB PAUL PECK (PSYD) located near Boston?
DR. CALEB PAUL PECK (PSYD) currently maps to Boston, Massachusetts in this extract.
When was this NPI issued?
Enumeration for DR. CALEB PAUL PECK (PSYD) is noted as September 21, 2010 where the registry provides it.

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