DR. BRIAN A PETERSEN PSY.D.
NPI 1215169818
Psychologist - Clinical in New York, NY

Active since August 14, 2009
412 6TH AVE, #610, NEW YORK, NY 10011(917) 621-5822(212) 346-1530 Get Directions Write a Review

NPPES record last updated: August 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian A Petersen Psy.d. NPPES

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

DR. BRIAN A PETERSEN PSY.D. (NPI 1215169818) is an individual clinical provider in New York, New York, licensed in New York (# 016797-1) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1215169818
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN A PETERSENCredential: PSY.D.
Location Address412 6TH AVE, #610New York, NY 10011-8409
Mailing Address156 William St, 12th FloorNew York, NY 10038-2609 · (917) 621-5822 · Fax (212) 346-1530
Fax(212) 346-1530
Sole ProprietorYes
Enumeration DateAugust 14, 2009
NPI 1215169818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · # 016797-1
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
412 6TH AVE, New York, NY 10011

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.

Clinic/Center (Adult Mental Health)
412 6TH AVE, STE.609
NEW YORK, NY 10011
Social Worker (Clinical)
412 6TH AVE, SUITE 603
NEW YORK, NY 10011
Social Worker (Clinical)
412 6TH AVE, SUITE 403-404
NEW YORK, NY 10011
Psychologist (Clinical)
412 6TH AVE, #709
NEW YORK, NY 10011
Social Worker (Clinical)
412 6TH AVE, ROOM 604
NEW YORK, NY 10011
Psychologist (Clinical)
412 6TH AVE, 7TH FLOOR
NEW YORK, NY 10011
Psychologist (Clinical)
412 6TH AVE, SUITE 610
NEW YORK, NY 10011
Counselor (Mental Health)
412 6TH AVE, STE. 710
NEW YORK, NY 10011

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 Brian Petersen's NPI number?

The NPI number for Brian Petersen is 1215169818. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Brian Petersen located?

Brian Petersen practices at 412 6th Ave #610, New York, NY 10011. The listed phone number is (917) 621-5822.

What is Brian Petersen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brian Petersen was last updated on August 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.