LELAND W PETERSEN CP
NPI 1790902229
Psychologist - Clinical in Glen Head, NY

Q: What is Leland Petersen's NPI number?

The NPI number for Leland Petersen is 1790902229. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Leland Petersen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Leland Petersen was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 19, 2007

11 BEECHWOOD DR, GLEN HEAD, NY 11545(516) 671-7509 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Leland W Petersen Cp NPPES

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

LELAND W PETERSEN CP (NPI 1790902229) is an individual clinical provider in Glen Head, New York, licensed in New York (05430) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790902229

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameLELAND W PETERSENCredential: CP

Location Address11 BEECHWOOD DRGlen Head, NY 11545-1101

Mailing Address11 Beechwood DrGlen Head, NY 11545-1101 · (516) 671-7509

Phone(516) 671-7509

Sole ProprietorYes

Enumeration DateApril 19, 2007

Last NPPES UpdateOctober 31, 2007

✔ NPI 1790902229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 05430

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.

11 BEECHWOOD DR, Glen Head, NY 11545

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Other Identifiers 1

Medicare PINV50231NY

Other Providers at the Same Location NPPES

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

LELAND W. PETERSEN, PSYCHOLOGIST, P.C.

Psychologist (Clinical)

11 BEECHWOOD DR
GLEN HEAD, NY 11545

Nassau County (516) 671-7509

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 Leland Petersen's NPI number?

The NPI number for Leland Petersen is 1790902229. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Leland Petersen located?

Leland Petersen practices at 11 Beechwood Dr, Glen Head, NY 11545. The listed phone number is (516) 671-7509.

What is Leland Petersen'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 Leland Petersen was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.