PEGGY DUBOIS, R.D., MFT, Psy .D. — NPI 1215765888 (Licensed & Credentialed Psychoanalyst in OAK PARK, CA)

CMS-1500 Box 24J / 33a • NPI

1215765888

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

102L00000X

Licensed & Credentialed Psychoanalyst

Box 32 Service Location & ZIP+4

1120 HEATHERVIEW DRIVE, OAK PARK, CA, 91377

Official NPPES Practice Location

Practice Phone & Referral Fax

(818) 706-3123

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215765888 (PEGGY DUBOIS, R.D., MFT, Psy .D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215765888` (NPI-1 Individual Practitioner)
Provider / Legal Name	PEGGY DUBOIS, R.D., MFT, Psy .D.
Plain-English Specialty	Licensed & Credentialed Psychoanalyst NUCC Code: `102L00000X` (Psychoanalyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1120 HEATHERVIEW DRIVE, OAK PARK, CA, 91377
Practice Telephone / Fax	Tel: (818) 706-3123
Administrative Mailing Address	1120 HEATHERVIEW DRIVE, OAK PARK, CA, 91377
Enumeration & Last Sync	Enumerated: 2024-07-24 \| CMS Record Updated: 2024-07-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1120 HEATHERVIEW DRIVE, OAK PARK, CA, 91377

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Plain-English Taxonomy & CMS Crosswalk (102L00000X)

What Does Taxonomy Code 102L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 102L00000X translates to:
"Licensed & Credentialed Psychoanalyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychoanalyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PEGGY DUBOIS, R.D., MFT, Psy .D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`102L00000X` — Psychoanalyst Plain English: Licensed & Credentialed Psychoanalyst	State: CA \| License: `36023` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PEGGY DUBOIS, R.D., MFT, Psy .D. (NPI #1215765888)