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SHELLEY PETERSEN
NPI 1770848152
Specialist in Wampsville, NY

Active since July 11, 2012
138 NORTH COURT STREET, WAMPSVILLE, NY 13163(315) 366-2363 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelley Petersen NPPES

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

SHELLEY PETERSEN (NPI 1770848152) is an individual specialist in Wampsville, New York and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1770848152
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSHELLEY PETERSEN
Location Address138 NORTH COURT STREETWampsville, NY 13163-0605
Mailing Address1640 Middle RdOneida, NY 13421-4182
Phone(315) 366-2363
Sole ProprietorYes
Enumeration DateJuly 11, 2012
✔ NPI 1770848152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
138 NORTH COURT STREET, Wampsville, NY 13163
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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.

STEPHANIE ANN THOMPSON
Social Worker (Clinical)
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327
MS. ALEXA BRAYMAN LMSW
Social Worker
138 NORTH COURT STREET, #7
WAMPSVILLE, NY 13163
Madison County (315) 366-2435
MISS ELENI KARAYIANNI M.A.
Counselor (Mental Health)
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327
RUSSELL JAMES STEWART
Counselor (Addiction (Substance Use Disorder))
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327
DR. SHANNON K BIRMINGHAM PSY D
Psychologist
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327
MR. GARY ROY ROBERTS CASAC
Counselor (Addiction (Substance Use Disorder))
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327
MRS. STEPHANIE ANN ANDERSON LCSW
Social Worker
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327
AMINTHA M. SELVARAJAH PA-C
Physician Assistant
138 NORTH COURT STREET
WAMPSVILLE, NY 13163
Madison County (315) 366-2327

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 Shelley Petersen's NPI number?

The NPI number for Shelley Petersen is 1770848152. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Shelley Petersen located?

Shelley Petersen practices at 138 North Court Street, Wampsville, NY 13163. The listed phone number is (315) 366-2363.

What is Shelley Petersen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shelley Petersen was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.