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Alyssa Peck

Psychologist - School β€’ Powell, OH

Active NPI 1982158739 Individual Practitioner Female Practitioner
Practice location in NPPES

6831 Prosperity Ln
Powell, OH 430650350

Call 4193417901 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6831 Prosperity Ln

Powell, OH 430650350

Telephone 4193417901

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Powell and Ohio

15 active clinicians are listed under Psychologist - School with a practice address in Powell, OH (1,526 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Powell

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-24
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

License # reported to NPPES OH OH3227777

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES OH 1-21-49994

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 24, 2023

Registered at 6831 PROSPERITY LN, POWELL, OH 430650350 (Tel: 4193417901)

πŸ“
Updated Business Mailing Address July 24, 2023

Registered at 6831 PROSPERITY LN, POWELL, OH 430650350

πŸ‘€
Provider Name / Credentials Updated July 24, 2023

Recorded as ALYSSA PECK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Behavior Analyst (license number reported to NPPES: OH 1-21-49994)

βœ…
NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 10, 2016

Registered at 755 RATHMELL RD, COLUMBUS, OH 432074737 (Tel: 6144918044)

πŸ“
Business Mailing Address (Initial Record) August 10, 2016

Registered at 755 RATHMELL RD, COLUMBUS, OH 432074737 (Tel: 6144918044)

πŸ‘€
Provider Name / Credentials (Initial Record) August 10, 2016

Recorded as ALYSSA DIEFENTHALER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Psychologist (license number reported to NPPES: OH OH3227777)

🟒
Initial NPI Registration & Enumeration August 10, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982158739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2016
Last Update: July 24, 2023
Sole Proprietor: No

Mailing Address

6831 Prosperity Ln

Powell, OH 430650350

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.