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MELISSA EDWARDS PETERSEN PHD
NPI 1144860917
Clinical Neuropsychologist in Fort Worth, TX

Active since January 09, 2020
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2200 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2020, Jan 9, 2020 (2 updates tracked since 2020).

About Melissa Edwards Petersen Phd NPPES

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

MELISSA EDWARDS PETERSEN PHD (NPI 1144860917) is an individual clinical neuropsychologist in Fort Worth, Texas, licensed in Texas (36939) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1144860917
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameMELISSA EDWARDS PETERSENCredential: PHD
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing Address855 Montgomery StFort Worth, TX 76107-2553 · (817) 735-2200
Phone(817) 735-2200
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1144860917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 36939
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 36939 (TX)
855 MONTGOMERY ST, Fort Worth, TX 76107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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.

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
DR. MICHAEL DAVID CARLETTI D.O.
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-0278
PREMA MANJUNATH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
JOSE RAMON SILVAS MD
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
KENDI HENSEL DO
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2235
CHRIS CHIU
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2228
CHRYSTYNA KAULBACH SENKEL PA
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2122

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 Melissa Petersen's NPI number?

The NPI number for Melissa Petersen is 1144860917. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Melissa Petersen located?

Melissa Petersen practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 735-2200.

What is Melissa Petersen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

What insurance does Melissa Petersen accept?

Health plans from Molina Healthcare list Melissa Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Petersen was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.