DR. JOHN EDWARD PETERS PHD
NPI 1306018940
Psychologist - Clinical in Albany, CA

Q: What is John Peters's NPI number?

The NPI number for John Peters is 1306018940. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Q: What is John Peters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Peters was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 24, 2008

1035 SAN PABLO AVE, #5, ALBANY, CA 94706(800) 548-2034(855) 849-5623 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John Edward Peters Phd NPPES

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

DR. JOHN EDWARD PETERS PHD (NPI 1306018940) is an individual clinical provider in Albany, California, licensed in California (PSY 15056) and active in the NPI registry since March 2008. He is a graduate of Other (1994).

NPPES Registry Identity

NPI1306018940

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN EDWARD PETERSCredential: PHD

Location Address1035 SAN PABLO AVE, #5Albany, CA 94706-2275

Mailing Address2124 Kittredge St # 834Berkeley, CA 94704-1436 · (510) 665-1991 · Fax (510) 665-1991

Phone(800) 548-2034

Fax(855) 849-5623

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateMarch 24, 2008

Last NPPES UpdateSeptember 9, 2016

✔ NPI 1306018940 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 · PSY 15056

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.

1035 SAN PABLO AVE, Albany, CA 94706

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Edward Peters Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476709007

PECOS Enrollment IDI20120814000134

Other Providers at the Same Location NPPES 13

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

DR. ROBYN PAPATHAKIS SHANNON PSYD

Psychologist (Clinical)

1035 SAN PABLO AVE
ALBANY, CA 94706

Alameda County (415) 237-0377

LILLIE BRUM MFT 8571

Marriage & Family Therapist

1035 SAN PABLO AVE, #9
ALBANY, CA 94706

Alameda County (510) 524-6185

SARAH ELIZABETH CHURCH LIEBMAN MFT

Marriage & Family Therapist

1035 SAN PABLO AVE, SUITE 5
ALBANY, CA 94706

Alameda County (510) 292-7367

MS. MARJORIE SCHWARTZ LCSW

Social Worker (Clinical)

1035 SAN PABLO AVE, STE. #5
ALBANY, CA 94706

Alameda County (510) 528-4230

DR. ROBERT AVENSON PH.D.

Psychologist (Clinical)

1035 SAN PABLO AVE, SUITE 5
ALBANY, CA 94706

Alameda County (510) 527-9767

MS. LISA ANN TURETSKY M.A., LMFT

Marriage & Family Therapist

1035 SAN PABLO AVE, SUITE 9
ALBANY, CA 94706

Alameda County (510) 277-0455

MRS. KIRSTEN MEADOWS MFT

Marriage & Family Therapist

1035 SAN PABLO AVE, SUITE 5
ALBANY, CA 94706

Alameda County (510) 287-8900

KEITH J TAYLOR

Specialist

1035 SAN PABLO AVE, STE 8
ALBANY, CA 94706

Alameda County (510) 559-2000

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 John Peters's NPI number?

The NPI number for John Peters is 1306018940. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is John Peters located?

John Peters practices at 1035 San Pablo Ave #5, Albany, CA 94706. The listed phone number is (800) 548-2034.

What is John Peters's specialty?

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

Is John Peters enrolled in Medicare?

Yes. John Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Peters was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.