ASHLEY MARIE PETERSEN PSY.D.
NPI 1326202516
Behavior Analyst in Park Ridge, IL

Q: What is Ashley Petersen's NPI number?

The NPI number for Ashley Petersen is 1326202516. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Q: What is Ashley Petersen's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: Is Ashley Petersen enrolled in Medicare?

No. Ashley Petersen has opted out of Medicare through June 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ashley Petersen was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 16, 2008Opted out of Medicare · through Jun 27, 2027

32 MAIN ST STE D, PARK RIDGE, IL 60068(847) 823-4444 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Ashley Marie Petersen Psy.d. NPPES

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

ASHLEY MARIE PETERSEN PSY.D. (NPI 1326202516) is an individual behavior analyst provider in Park Ridge, Illinois and active in the NPI registry since July 2008. She has opted out of Medicare through June 27, 2027.

NPPES Registry Identity

NPI1326202516

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameASHLEY MARIE PETERSENCredential: PSY.D.

Location Address32 MAIN ST STE DPark Ridge, IL 60068-4060

Mailing Address509 W 10th StAntioch, CA 94509-1653 · (925) 777-9540

Phone(847) 823-4444

Sole ProprietorYes

Enumeration DateJuly 16, 2008

Last NPPES UpdateApril 19, 2019

✔ NPI 1326202516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

32 MAIN ST STE D, Park Ridge, IL 60068

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ashley Marie Petersen Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 27, 2023 through June 27, 2027.

Opt-Out Effective DateJune 27, 2023

Opt-Out In Effect ThroughJune 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. RENEE HANGARTNER PH.D.

Student in an Organized Health Care Education/Training Program