WILLIAM D PETOK, PHD, PA
NPI 1124322185
Psychologist in Severna Park, MD

Active since January 06, 2011
479 JUMPERS HOLE RD, SUITE 304B, SEVERNA PARK, MD 21146(410) 647-9166(410) 647-9174 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William D Petok, Phd, Pa NPPES

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

WILLIAM D PETOK, PHD, PA (NPI 1124322185) is a healthcare organization registered as a psychologist in Severna Park, Maryland and active in the NPI registry since January 2011. The organization lists William David Petok, President, as its authorized official.

NPPES Registry Identity

NPI1124322185
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWILLIAM D PETOK, PHD, PA
Location Address479 JUMPERS HOLE RD, SUITE 304BSeverna Park, MD 21146-1600
Mailing Address479 Jumpers Hole Rd, Suite 304bSeverna Park, MD 21146-1600 · (410) 647-9166 · Fax (410) 647-9174
Fax(410) 647-9174
Organization SubpartNo
Authorized OfficialWilliam David PetokPresident · (410) 647-9166
Enumeration DateJanuary 6, 2011
NPI 1124322185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
479 JUMPERS HOLE RD, Severna Park, MD 21146

Group Practice 1

Group TaxonomyThis 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

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.

Dentist (General Practice)
479 JUMPERS HOLE RD, SUITE 201
SEVERNA PARK, MD 21146
Psychologist (Clinical)
479 JUMPERS HOLE RD, SUITE 206
SEVERNA PARK, MD 21146
Psychologist
479 JUMPERS HOLE RD, SUITE 304B
SEVERNA PARK, MD 21146
Dentist
479 JUMPERS HOLE RD, SUITE 201
SEVERNA PARK, MD 21146
Otolaryngology
479 JUMPERS HOLE RD, SUITE 304
SEVERNA PARK, MD 21146
Internal Medicine
479 JUMPERS HOLE RD, STE 304A BLAKESLEE & EICHELBERGER LLC
SEVERNA PARK, MD 21146
Otolaryngology (Facial Plastic Surgery)
479 JUMPERS HOLE RD, SUITE 304
SEVERNA PARK, MD 21146
Physician Assistant
479 JUMPERS HOLE RD, SUITE 304
SEVERNA PARK, MD 21146

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 William D Petok, Phd, PA's NPI number?

The NPI number for William D Petok, Phd, PA is 1124322185. It was assigned to this organization in the NPPES registry on January 6, 2011.

Where is William D Petok, Phd, PA located?

William D Petok, Phd, PA is located at 479 Jumpers Hole Rd Suite 304B, Severna Park, MD 21146. The listed phone number is (410) 647-9166.

What is William D Petok, Phd, PA'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 William D Petok, Phd, PA was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.