JOANNE PETERSON ED.D
NPI 1750475430
Psychologist in Hilton Head Island, SC

Active since October 03, 2006
40 BAYNARD COVE RD, HILTON HEAD ISLAND, SC 29928(815) 409-6606(843) 363-9997 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joanne Peterson Ed.d NPPES

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

JOANNE PETERSON ED.D (NPI 1750475430) is an individual psychologist in Hilton Head Island, South Carolina, licensed in Illinois (071005887) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1750475430
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJOANNE PETERSONCredential: ED.D
Location Address40 BAYNARD COVE RDHilton Head Island, SC 29928-4135
Mailing Address40 Baynard Cove RdHilton Head Island, SC 29928-4135 · (815) 409-6606 · Fax (843) 363-9997
Fax(843) 363-9997
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 24, 2017
NPI 1750475430 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 IL · 071005887
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.

40 BAYNARD COVE RD, Hilton Head Island, SC 29928

Other Names 1

Former Name (1)Joanne E Hattendorf Edd

Other Identifiers 3

Other219043IL · Magellan
Other274154IL · Value Behavioral Health
Other0991516762IL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Joanne Peterson Ed.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2022 through June 22, 2026.

Opt-Out Effective DateJune 22, 2022
Opt-Out In Effect ThroughJune 22, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist
40 BAYNARD COVE RD
HILTON HEAD ISLAND, SC 29928

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750475430, enumerated as an "individual" on October 03, 2006.

The provider is located at 40 BAYNARD COVE RD HILTON HEAD ISLAND, SC 29928 and the phone number is (815) 409-6606.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Providence. Please consult your insurance carrier or call the provider to verify.