DR. JOHN ANTHONY PETERSEN PSY.D.
NPI 1851491526
Psychologist in South Bend, IN
About Dr. John Anthony Petersen Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN ANTHONY PETERSEN PSY.D. (NPI 1851491526) is an individual psychologist in South Bend, Indiana, licensed in Indiana (20041594A) and active in the NPI registry since September 2006. He maintains a secondary practice location in South Bend.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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 John Petersen's NPI number?
The NPI number for John Petersen is 1851491526. It was assigned to this individual provider in the NPPES registry on September 23, 2006.
Where is John Petersen located?
John Petersen practices at 922 E Wayne St # 205, South Bend, IN 46617. The listed phone number is (574) 280-8199.
What is John Petersen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for John Petersen was last updated on December 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.