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DR. OWEN PATRICK PETERSEN PSY.D.
NPI 1295107415
Psychologist - Clinical in Los Angeles, CA

Active since October 27, 2015
1531 PURDUE AVE, LOS ANGELES, CA 90025(424) 442-0813 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Owen Patrick Petersen Psy.d. NPPES

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

DR. OWEN PATRICK PETERSEN PSY.D. (NPI 1295107415) is an individual clinical provider in Los Angeles, California, licensed in California (PSY27756) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1295107415
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. OWEN PATRICK PETERSENCredential: PSY.D.
Location Address1531 PURDUE AVELos Angeles, CA 90025-3104
Mailing Address1531 Purdue AveLos Angeles, CA 90025-3104 · (424) 442-0813
Phone(424) 442-0813
Sole ProprietorYes
Enumeration DateOctober 27, 2015
Last NPPES UpdateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1295107415 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 CA · PSY27756
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.
1531 PURDUE AVE, Los Angeles, CA 90025
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Other Providers at the Same Location NPPES 5

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

SUZANNE R. ECKER MFT
Marriage & Family Therapist
1531 PURDUE AVE
WEST LOS ANGELES, CA 90025
Los Angeles County (310) 967-3979
DR. BRIAN DAMIEN DIETRICH PH.D.
Marriage & Family Therapist
1531 PURDUE AVE
LOS ANGELES, CA 90025
Los Angeles County (310) 564-9464
DR. DIANE WESSON JACKSON MFC
Marriage & Family Therapist
1531 PURDUE AVE, SUITE NUMBER 103
LOS ANGELES, CA 90025
Los Angeles County (310) 478-6263
MS. GISELE TERRY MFT
Counselor (Mental Health)
1531 PURDUE AVE
LOS ANGELES, CA 90025
Los Angeles County (310) 473-1885
MS. BIANCA M DAALDER MFT
Marriage & Family Therapist
1531 PURDUE AVE
WEST LOS ANGELES, CA 90025
Los Angeles County (310) 575-4503

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 Owen Petersen's NPI number?

The NPI number for Owen Petersen is 1295107415. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is Owen Petersen located?

Owen Petersen practices at 1531 Purdue Ave, Los Angeles, CA 90025. The listed phone number is (424) 442-0813.

What is Owen 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 Owen Petersen was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.