DR. CHARLES ANDREW PETERSON PHD
NPI 1487746988
Psychologist - Clinical in Minneapolis, MN

Q: What is Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1487746988. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Charles 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 Charles 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 September 29, 2006

1 VETERANS DR, MINNEAPOLIS, MN 55417(612) 467-3983 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 Dr. Charles Andrew Peterson Phd NPPES

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

DR. CHARLES ANDREW PETERSON PHD (NPI 1487746988) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP0190) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1487746988

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CHARLES ANDREW PETERSONCredential: PHD

Location Address1 VETERANS DRMinneapolis, MN 55417-2309

Mailing Address1549 Albany AveSaint Paul, MN 55108-2506 · (651) 645-2120

Phone(612) 467-3983

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487746988 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 MN · LP0190

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.

1 VETERANS DR, Minneapolis, MN 55417

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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.

SHANNON MARIE KEHLE-FORBES PH.D., L.P.

Psychologist (Clinical)