DR. TIMOTHY ALLEN PETERSEN PSY.D.
NPI 1104070119
Psychologist in Encino, CA

Active since November 05, 2008
16055 VENTURA BLVD, SUITE 920, ENCINO, CA 91436(818) 377-6330 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Allen Petersen Psy.d. NPPES

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

DR. TIMOTHY ALLEN PETERSEN PSY.D. (NPI 1104070119) is an individual psychologist in Encino, California, licensed in California (PSY 19159) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1104070119
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIMOTHY ALLEN PETERSENCredential: PSY.D.
Location Address16055 VENTURA BLVD, SUITE 920Encino, CA 91436-2601
Mailing Address16055 Ventura Blvd, Suite 920Encino, CA 91436-2601 · (818) 377-6330
Sole ProprietorYes
Enumeration DateNovember 5, 2008
NPI 1104070119 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 · PSY 19159
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.
16055 VENTURA BLVD, Encino, CA 91436

Other Providers at the Same Location NPPES 20

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

Psychologist
16055 VENTURA BLVD, SUITE 920
ENCINO, CA 91436
Clinic/Center (Multi-Specialty)
16055 VENTURA BLVD, SUITE 712
ENCINO, CA 91436
Psychologist (Counseling)
16055 VENTURA BLVD, STE 1020
ENCINO, CA 91436
Anesthesiology
16055 VENTURA BLVD, STE.# 120
ENCINO, CA 91436
Social Worker (Clinical)
16055 VENTURA BLVD, STE 403
ENCINO, CA 91436
Psychiatry & Neurology (Psychiatry)
16055 VENTURA BLVD, SUITE #813
ENCINO, CA 91436
Ophthalmology
16055 VENTURA BLVD, #690
ENCINO, CA 91436
Marriage & Family Therapist
16055 VENTURA BLVD, STE 500
ENCINO, CA 91436

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 Timothy Petersen's NPI number?

The NPI number for Timothy Petersen is 1104070119. It was assigned to this individual provider in the NPPES registry on November 5, 2008.

Where is Timothy Petersen located?

Timothy Petersen practices at 16055 Ventura Blvd Suite 920, Encino, CA 91436. The listed phone number is (818) 377-6330.

What is Timothy 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 Timothy Petersen was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.