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TYLER PETERSON
NPI 1558017822
Psychologist - Clinical in Ione, CA

Active since February 25, 2022

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tyler Peterson NPPES

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

TYLER PETERSON (NPI 1558017822) is an individual clinical provider in Ione, California, licensed in California (PSY33794) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1558017822
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTYLER PETERSON
Location Address4001 HWY 104Ione, CA 95640
Mailing Address4001 Hwy 104Ione, CA 95640
Phone(209) 274-4911
Sole ProprietorNo
Enumeration DateFebruary 25, 2022
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1558017822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY33794
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4001 HWY 104, Ione, CA 95640
Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

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

GEORGE ARTHUR MORRIS D.D.S.
Dentist
4001 HWY 104
IONE, CA 95640
Amador County (209) 274-4911
AMANDA N WOOD
Student in an Organized Health Care Education/Training Program
4001 HWY 104
IONE, CA 95640
Amador County (209) 274-4911
JULIANNE CAITLIN SULENTA LCSW
Social Worker (Clinical)
4001 HWY 104
IONE, CA 95640
Amador County (209) 274-4911
DR. ELLEN N LING DDS
Dentist
4001 HWY 104
IONE, CA 95640
Amador County (209) 274-4911
MS. LUCY YOU HER PSY.D.
Psychologist (Clinical)
4001 HWY 104
IONE, CA 95640
Amador County (209) 274-4911
OMONIYI TEMITOPE AKINTOLA PA C
Physician Assistant (Medical)
4001 HWY 104
IONE, CA 95640
Amador County (209) 274-4911
DR. KHARI NELSON D.D.S.
Dentist (General Practice)
4001 HWY 104
IONE, CA 95640
Amador County (916) 601-0351
MR. MICHAEL JOHN GIOVANNONI PHARM D
Pharmacist
4001 HWY 104, ---- MULE CREEK STATE PRISON
IONE, CA 95640
Amador County (209) 274-4911

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 Tyler Peterson's NPI number?

The NPI number for Tyler Peterson is 1558017822. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Tyler Peterson located?

Tyler Peterson practices at 4001 Hwy 104, Ione, CA 95640. The listed phone number is (209) 274-4911.

What is Tyler 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 Tyler Peterson was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.