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RICHARD TODD PETERSON M.D.
NPI 1619152097
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chaska, MN

Active since January 04, 2008PECOS EnrolledAccepts Medicare Assignment
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318(952) 903-1350(952) 426-3856 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2020, Apr 24, 2019 (2 updates tracked since 2019).

About Richard Todd Peterson M.d. NPPES

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

RICHARD TODD PETERSON M.D. (NPI 1619152097) is an individual child & adolescent psychiatry provider in Chaska, Minnesota, licensed in Minnesota (53964) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2006).

NPPES Registry Identity

NPI1619152097
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameRICHARD TODD PETERSONCredential: M.D.
Location Address111 HUNDERTMARK RD STE 205NChaska, MN 55318-1586
Mailing Address9400 Zane Ave NBrooklyn Park, MN 55443-1814 · (763) 762-8800
Phone(952) 903-1350
Fax(952) 426-3856
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2006
Enumeration DateJanuary 4, 2008
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1619152097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MN · 53964
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

111 HUNDERTMARK RD STE 205N, Chaska, MN 55318
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Todd Peterson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436214400
PECOS Enrollment IDI20111031000759
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

LAURA ELIZABETH PEKURI DNP, CNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
THERESA L GUNDERSON PHD
Psychologist (Clinical)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1370
DR. ANASTASIA SULLWOLD RISTAU PHD LP
Psychologist
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
MELISSA GORONI LARSON LICSW
Counselor (Mental Health)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
MEGAN BOYINGTON LICSW
Social Worker (Clinical)
111 HUNDERTMARK RD STE 205N, 212 MEDICAL BUILDING
CHASKA, MN 55318
Carver County (952) 903-1350
KELLY ANN SENESAC MA, LMFT
Marriage & Family Therapist
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
NATHANIEL MARTIN SHIELDS
Counselor (Professional)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (612) 274-7532
AMY LOUISE-VANNURDEN SWINGLE PSYD
Psychologist (Clinical)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350

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 Richard Peterson's NPI number?

The NPI number for Richard Peterson is 1619152097. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Where is Richard Peterson located?

Richard Peterson practices at 111 Hundertmark Rd Ste 205N, Chaska, MN 55318. The listed phone number is (952) 903-1350.

What is Richard Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Richard Peterson enrolled in Medicare?

Yes. Richard Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Peterson accept?

Health plans from HealthPartners list Richard Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Peterson was last updated on September 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.