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MR. ROWDY ADAM PETERSON
NPI 1790520708
Psychologist - Addiction (Substance Use Disorder) in Tulsa, OK

Active since July 01, 2024
6333 E SKELLY DR, TULSA, OK 74135(918) 510-2160 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Rowdy Adam Peterson NPPES

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

MR. ROWDY ADAM PETERSON (NPI 1790520708) is an individual addiction (substance use disorder) provider in Tulsa, Oklahoma and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1790520708
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameMR. ROWDY ADAM PETERSON
Location Address6333 E SKELLY DRTulsa, OK 74135-6106
Mailing Address6333 E Skelly DrTulsa, OK 74135-6106 · (918) 510-2160
Phone(918) 510-2160
Sole ProprietorNo
Enumeration DateJuly 1, 2024
NPPES CertifiedJune 30, 2024
✔ NPI 1790520708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
6333 E SKELLY DR, Tulsa, OK 74135
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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.

JERRY LEE MANUS
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KRYSTAL DAWN HUTCHINSON
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7216
MS. ABIGAIL ELIZABETH CARLISLE
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (000) 000-0000
TANYA CRAWFORD RN
Registered Nurse
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KELLI ANN ORDORICA
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7151
JAYSON SWISHER
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
IVAN HONEYCUTT
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 222-2222
GLORY S KALAKURCHA M.A.
Counselor (Addiction (Substance Use Disorder))
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224

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 Rowdy Peterson's NPI number?

The NPI number for Rowdy Peterson is 1790520708. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Rowdy Peterson located?

Rowdy Peterson practices at 6333 E Skelly Dr, Tulsa, OK 74135. The listed phone number is (918) 510-2160.

What is Rowdy Peterson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Rowdy Peterson was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.