JAYME L PETA PHD
NPI 1205278413
Psychologist in San Rafael, CA

Active since July 29, 2013
3230 KERNER BLVD, SAN RAFAEL, CA 94901(415) 473-2611 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2018, Mar 30, 2017 (2 updates tracked since 2017).

About Jayme L Peta Phd NPPES

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

JAYME L PETA PHD (NPI 1205278413) is an individual psychologist in San Rafael, California, licensed in California (29934) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1205278413
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJAYME L PETACredential: PHD
Location Address3230 KERNER BLVDSan Rafael, CA 94901-4840
Mailing Address3230 Kerner BlvdSan Rafael, CA 94901-4840
Sole ProprietorNo
Enumeration DateJuly 29, 2013
Last NPPES UpdateMarch 12, 20182 updates tracked since enumeration
NPI 1205278413 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 · 29934
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.

3230 KERNER BLVD, San Rafael, CA 94901

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
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Psychologist (Clinical)
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Case Manager/Care Coordinator
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205278413, enumerated as an "individual" on July 29, 2013.

The provider is located at 3230 KERNER BLVD SAN RAFAEL, CA 94901 and the phone number is (415) 473-2611.

Psychologist with taxonomy code 103T00000X.