MR. JAMES S PETERSON PHD ABPN
NPI 1376661272
Psychologist - Clinical in Carbondale, IL

Q: What is James Peterson's NPI number?

The NPI number for James Peterson is 1376661272. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is James Peterson'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 James Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 27, 2007

1400 W MAIN, SUITE 16, CARBONDALE, IL 62901(618) 529-2227(618) 529-2227 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. James S Peterson Phd Abpn NPPES

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

MR. JAMES S PETERSON PHD ABPN (NPI 1376661272) is an individual clinical provider in Carbondale, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1376661272

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JAMES S PETERSONCredential: PHD ABPN

Location Address1400 W MAIN, SUITE 16Carbondale, IL 62901

Mailing AddressPo Box 583Carbondale, IL 62903 · (618) 529-2227

Phone(618) 529-2227

Fax(618) 529-2227

Sole ProprietorNo

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376661272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1400 W MAIN, Carbondale, IL 62901

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Other Identifiers 1

Medicare ID-Type Unspecified556080

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 James Peterson's NPI number?

The NPI number for James Peterson is 1376661272. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is James Peterson located?

James Peterson practices at 1400 W Main Suite 16, Carbondale, IL 62901. The listed phone number is (618) 529-2227.

What is James Peterson'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 James Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.