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DALE L PETERSON PHD
NPI 1023234572
Psychologist - Clinical in Louisville, KY

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
2218 EASTVIEW AVE, LOUISVILLE, KY 40205(410) 688-6377 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2026, Jun 21, 2021 (2 updates tracked since 2021).

About Dale L Peterson Phd NPPES

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

DALE L PETERSON PHD (NPI 1023234572) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (298385) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1023234572
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDALE L PETERSONCredential: PHD
Location Address2218 EASTVIEW AVELouisville, KY 40205-2663
Mailing Address2218 Eastview AveLouisville, KY 40205-2663
Phone(410) 688-6377
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateApril 17, 2007
Last NPPES UpdateApril 19, 20262 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1023234572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in KY · 298385✔ Licensed in CO · 4759
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.
2218 EASTVIEW AVE, Louisville, KY 40205
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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

Dale L 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 ID7719033034
PECOS Enrollment IDI20260504006972
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 40205 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Dale Peterson's NPI number?

The NPI number for Dale Peterson is 1023234572. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Dale Peterson located?

Dale Peterson practices at 2218 Eastview Ave, Louisville, KY 40205. The listed phone number is (410) 688-6377.

What is Dale Peterson's specialty?

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

Is Dale Peterson enrolled in Medicare?

Yes. Dale 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 Dale Peterson was last updated on April 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.