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DR. KEITH R PETERSON PHD
NPI 1023144573
Psychologist - Clinical in Irvine, CA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
6 VENTURE, SUITE 350, IRVINE, CA 92618(949) 683-8789(949) 581-4484 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith R Peterson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH R PETERSON PHD (NPI 1023144573) is an individual clinical provider in Irvine, California, licensed in California (PSY 15859) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1023144573
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEITH R PETERSONCredential: PHD
Location Address6 VENTURE, SUITE 350Irvine, CA 92618-3340
Mailing Address26741 Portola Pkwy, Suite 1e 432Foothill Ranch, CA 92610-1743 · (949) 683-8789 · Fax (949) 581-4484
Phone(949) 683-8789
Fax(949) 581-4484
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023144573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 15859
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6 VENTURE, Irvine, CA 92618
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedCP 15859CA · Psychologist

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keith R Peterson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729095633
PECOS Enrollment IDI20060317000564
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DISIENA FAMILY CHIROPRACTIC, A PROF CORP
Chiropractor
6 VENTURE, SUITE 115
IRVINE, CA 92618
Orange County (949) 559-6030
EMILY MILLS JOHNSON M.D.
Psychiatry & Neurology (Psychiatry)
6 VENTURE, STE 350
IRVINE, CA 92618
Orange County (949) 753-8800
NANCY JOAN DOUCET L.C.S.W.
Social Worker (Clinical)
6 VENTURE, STE 350
IRVINE, CA 92618
Orange County (949) 559-8240
GRACE ELLEN KONSTANZER DC
Chiropractor
6 VENTURE
IRVINE, CA 92618
Orange County (949) 559-6030
JOEY A ESTELLA M.A., LMFT
Marriage & Family Therapist
6 VENTURE, SUITE 350
IRVINE, CA 92618
Orange County (949) 753-8800
DR. DOUGLAS A DISIENA DC
Chiropractor
6 VENTURE, SUITE 115
IRVINE, CA 92618
Orange County (949) 559-6030
DR. CONNOR MINH-KHOI DUONG M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6 VENTURE, SUITE 350
IRVINE, CA 92618
Orange County (949) 753-8800
DR. GREGORY A BAMBERGER DC
Chiropractor
6 VENTURE, SUITE 115
IRVINE, CA 92618
Orange County (949) 559-6030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Peterson's NPI number?

The NPI number for Keith Peterson is 1023144573. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Keith Peterson located?

Keith Peterson practices at 6 Venture Suite 350, Irvine, CA 92618. The listed phone number is (949) 683-8789.

What is Keith Peterson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Keith Peterson enrolled in Medicare?

Yes. Keith Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keith Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.