TIMOTHY J PETERSEN PHD
NPI 1295737898
Psychologist in Boston, MA

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
1 BOWDOIN SQ, 7TH FLOOR, OFFICE 744, BOSTON, MA 02114(617) 643-0262(617) 726-2992 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy J Petersen Phd NPPES

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

TIMOTHY J PETERSEN PHD (NPI 1295737898) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (7731) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1295737898
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTIMOTHY J PETERSENCredential: PHD
Location Address1 BOWDOIN SQ, 7TH FLOOR, OFFICE 744Boston, MA 02114-2927
Mailing Address1 Bowdoin Sq, 7th Floor, Office 744Boston, MA 02114-2927 · (617) 643-0262 · Fax (617) 726-2992
Fax(617) 726-2992
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 12, 2005
Last NPPES UpdateSeptember 4, 2008
NPI 1295737898 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 MA · 7731
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.
1 BOWDOIN SQ, Boston, MA 02114

Other Identifiers 2

Medicaid0503002MA
Medicare ID-Type UnspecifiedW51222MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy J Petersen Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961492244
PECOS Enrollment IDI20040518000104
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
201 services14 patients

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.

Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ, 6TH FLOOR
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
1 BOWDOIN SQ, 7TH FLOOR
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ
BOSTON, MA 02114
Psychologist
1 BOWDOIN SQ
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ, 7TH FLOOR
BOSTON, MA 02114
Clinical Neuropsychologist
1 BOWDOIN SQ, 7TH FLOOR
BOSTON, MA 02114

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 Timothy Petersen's NPI number?

The NPI number for Timothy Petersen is 1295737898. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Timothy Petersen located?

Timothy Petersen practices at 1 Bowdoin Sq 7th Floor, Office 744, Boston, MA 02114. The listed phone number is (617) 643-0262.

What is Timothy Petersen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Timothy Petersen enrolled in Medicare?

Yes. Timothy Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Timothy 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 Timothy Petersen was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.