DR. REGINA PETTERSON PSY.D.
NPI 1417059965
Psychologist in Los Angeles, CA

Active since September 05, 2006
11980 SAN VICENTE BLVD, SUITE 701, LOS ANGELES, CA 90049(310) 462-3134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Regina Petterson Psy.d. NPPES

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

DR. REGINA PETTERSON PSY.D. (NPI 1417059965) is an individual psychologist in Los Angeles, California, licensed in California (PSY18490) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417059965
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. REGINA PETTERSONCredential: PSY.D.
Location Address11980 SAN VICENTE BLVD, SUITE 701Los Angeles, CA 90049-5012
Mailing Address11980 San Vicente Blvd, Suite 701Los Angeles, CA 90049-5012 · (310) 462-3134
Sole ProprietorYes
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417059965 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 CA · PSY18490
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.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049

Other Identifiers 2

Other284973CA · Mhn
Medicare ID-Type UnspecifiedCP18490CA

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.

Dentist (Oral and Maxillofacial Surgery)
11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Family Medicine
11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049

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 Regina Petterson's NPI number?

The NPI number for Regina Petterson is 1417059965. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Regina Petterson located?

Regina Petterson practices at 11980 San Vicente Blvd Suite 701, Los Angeles, CA 90049. The listed phone number is (310) 462-3134.

What is Regina Petterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Regina Petterson 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.