Provider Demographics
NPI:1407645120
Name:PEAT, TAMEKA D
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:D
Last Name:PEAT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 CARLTON AVE APT 20L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2117
Mailing Address - Country:US
Mailing Address - Phone:718-916-5237
Mailing Address - Fax:
Practice Address - Street 1:487 CARLTON AVE APT 20L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2117
Practice Address - Country:US
Practice Address - Phone:718-916-5237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker