MR. DAVID PETERSEN PH.D.
NPI 1164633632
Counselor - Mental Health in College Park, MD

Q: What is David Petersen's NPI number?

The NPI number for David Petersen is 1164633632. It was assigned to this individual provider in the NPPES registry on May 25, 2007. The provider is also known as Dr. David A. Petersen Ph.D..

Q: What is David Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for David Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 25, 2007

UNIVERSITY OF MARYLAND, 1209 SHOEMAKER BUILDING, COLLEGE PARK, MD 20742(301) 314-9792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. David Petersen Ph.d. NPPES

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

MR. DAVID PETERSEN PH.D. (NPI 1164633632) is an individual mental health provider in College Park, Maryland, licensed in Maryland (03772) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164633632

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DAVID PETERSENCredential: PH.D.

Location AddressUNIVERSITY OF MARYLAND, 1209 SHOEMAKER BUILDINGCollege Park, MD 20742-0001

Mailing Address14724 Locustwood LnSilver Spring, MD 20905-6424 · (301) 388-0650

Phone(301) 314-9792

Sole ProprietorYes

Enumeration DateMay 25, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164633632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MD · 03772

UNIVERSITY OF MARYLAND, College Park, MD 20742

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Other Names 1

Other Name (5)Dr. David A. Petersen Ph.d.

Other Providers at the Same Location NPPES 2

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

MRS. JESSICA SUSAN PEREZ P.A.

Physician Assistant (Medical)

UNIVERSITY OF MARYLAND, UNIVERSITY HEALTH CENTER, BUILDING 140
COLLEGE PARK, MD 20742

Prince George's County (301) 405-1046

MS. DIANE SUSAN ORTH CRNP

Nurse Practitioner (Adult Health)

UNIVERSITY OF MARYLAND, UNIVERSITY HEALTH CENTER, BUILDING 140
COLLEGE PARK, MD 20742

Prince George's County (301) 314-8190

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 David Petersen's NPI number?

The NPI number for David Petersen is 1164633632. It was assigned to this individual provider in the NPPES registry on May 25, 2007. The provider is also known as Dr. David A. Petersen Ph.D..

Where is David Petersen located?

David Petersen practices at University Of Maryland 1209 Shoemaker Building, College Park, MD 20742. The listed phone number is (301) 314-9792.

What is David Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for David Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.