L.W. PETERSEN, PSYCHOLOGIST, P.C.
NPI 1083831408
Psychologist - Clinical in Glen Head, NY

Active since April 19, 2007
11 BEECHWOOD DR, GLEN HEAD, NY 11545(516) 671-7509 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About L.w. Petersen, Psychologist, P.c. NPPES

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

L.W. PETERSEN, PSYCHOLOGIST, P.C. (NPI 1083831408) is a healthcare organization registered as a clinical in Glen Head, New York and active in the NPI registry since April 2007. The organization lists Leland Walter Petersen, President, as its authorized official.Information from the official NPPES registry record, last updated June 17, 2008.

NPPES Registry Identity

NPI1083831408
Entity TypeOrganization
Legal Business NameLELAND W. PETERSEN, PSYCHOLOGIST, P.C.
Location Address11 BEECHWOOD DRGlen Head, NY 11545-1101
Mailing Address11 Beechwood DrGlen Head, NY 11545-1101 · (516) 671-7509
Organization SubpartNo
Authorized OfficialLeland Walter PetersenPresident · (516) 671-7509
Enumeration DateApril 19, 2007
Last NPPES UpdateJune 17, 2008
NPI 1083831408 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Psychologist · Clinical

Taxonomy 103TC0700X · Behavioral Health & Social Service Providers

Licensed in NY · 05430

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training,… Show more

11 BEECHWOOD DR, Glen Head, NY 11545

Also on File with NPPES

Other Names1
L.w. Petersen, Psychologist, P.c. (Other Name)
Other Identifiers1
WXRWZ1 (Medicare PIN, NY)
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
11 BEECHWOOD DR
GLEN HEAD, NY 11545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083831408, enumerated as an "organization" on April 19, 2007.

The provider is located at 11 BEECHWOOD DR GLEN HEAD, NY 11545 and the phone number is (516) 671-7509.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.