DR. JACQUELYN PETERSON PSY.D.
NPI 1316690977
Counselor in San Bernardino, CA

Active since February 02, 2022
658 E BRIER DR STE 200, SAN BERNARDINO, CA 92408(909) 501-0738 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2022, Feb 2, 2022 (2 updates tracked since 2022).

About Dr. Jacquelyn Peterson Psy.d. NPPES

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

DR. JACQUELYN PETERSON PSY.D. (NPI 1316690977) is an individual counselor in San Bernardino, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1316690977
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDR. JACQUELYN PETERSONCredential: PSY.D.
Location Address658 E BRIER DR STE 200San Bernardino, CA 92408-2847
Mailing Address658 E Brier Dr Ste 200San Bernardino, CA 92408-2847 · (909) 501-0738
Sole ProprietorYes
Enumeration DateFebruary 2, 2022
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1316690977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

658 E BRIER DR STE 200, San Bernardino, CA 92408

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.

Social Worker (Clinical)
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Psychologist
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Clinic/Center (Adolescent and Children Mental Health)
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Student in an Organized Health Care Education/Training Program
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Marriage & Family Therapist
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Social Worker
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Psychoanalyst
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408
Social Worker (Clinical)
658 E BRIER DR STE 200
SAN BERNARDINO, CA 92408

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 Jacquelyn Peterson's NPI number?

The NPI number for Jacquelyn Peterson is 1316690977. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Jacquelyn Peterson located?

Jacquelyn Peterson practices at 658 E Brier Dr Ste 200, San Bernardino, CA 92408. The listed phone number is (909) 501-0738.

What is Jacquelyn Peterson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Peterson was last updated on March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.