LAURA PETERSEN
NPI 1063870806
Psychologist in San Jose, CA

Active since February 08, 2016
1080 N 7TH ST, SAN JOSE, CA 95112(610) 869-9160 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2025, Feb 8, 2016 (2 updates tracked since 2016).

About Laura Petersen NPPES

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

LAURA PETERSEN (NPI 1063870806) is an individual psychologist in San Jose, California, licensed in California (36366) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1063870806
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLAURA PETERSEN
Location Address1080 N 7TH STSan Jose, CA 95112-4425
Mailing Address506 Railway Ave Apt 321Campbell, CA 95008-3054 · (267) 337-2197
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1063870806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 36366
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1080 N 7TH ST, San Jose, CA 95112

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
1080 N 7TH ST
SAN JOSE, CA 95112
Psychologist
1080 N 7TH ST
SAN JOSE, CA 95112
Student in an Organized Health Care Education/Training Program
1080 N 7TH ST
SAN JOSE, CA 95112
Student in an Organized Health Care Education/Training Program
1080 N 7TH ST
SAN JOSE, CA 95112
Case Manager/Care Coordinator
1080 N 7TH ST
SAN JOSE, CA 95112
Student in an Organized Health Care Education/Training Program
1080 N 7TH ST
SAN JOSE, CA 95112
Counselor (Mental Health)
1080 N 7TH ST
SAN JOSE, CA 95112
Student in an Organized Health Care Education/Training Program
1080 N 7TH ST
SAN JOSE, CA 95112

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 Laura Petersen's NPI number?

The NPI number for Laura Petersen is 1063870806. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Laura Petersen located?

Laura Petersen practices at 1080 N 7th St, San Jose, CA 95112. The listed phone number is (610) 869-9160.

What is Laura Petersen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Laura Petersen was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.