DR. JILL C PETERSON PSY.D.
NPI 1861562274
Psychologist - Clinical in Honolulu, HI

Q: What is Jill Peterson's NPI number?

The NPI number for Jill Peterson is 1861562274. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Jill Peterson's specialty?

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

Q: Is Jill Peterson enrolled in Medicare?

No. Jill Peterson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jill Peterson was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 09, 2006Opted out of Medicare · through Jan 1, 2027

6600 KALANIANAOLE HWY., SUITE 225, HONOLULU, HI 96825(808) 721-8048 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jill C Peterson Psy.d. NPPES

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

DR. JILL C PETERSON PSY.D. (NPI 1861562274) is an individual clinical provider in Honolulu, Hawaii, licensed in Hawaii (946) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861562274

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JILL C PETERSONCredential: PSY.D.

Location Address6600 KALANIANAOLE HWY., SUITE 225Honolulu, HI 96825

Mailing Address1759 Iwi WayHonolulu, HI 96816-3826 · (808) 721-8048

Phone(808) 721-8048

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateNovember 21, 2012

✔ NPI 1861562274 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 HI · 946

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.

6600 KALANIANAOLE HWY., Honolulu, HI 96825

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jill C Peterson Psy.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 January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jill Peterson's NPI number?

The NPI number for Jill Peterson is 1861562274. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Jill Peterson located?

Jill Peterson practices at 6600 Kalanianaole Hwy. Suite 225, Honolulu, HI 96825. The listed phone number is (808) 721-8048.

What is Jill Peterson's specialty?

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

Is Jill Peterson enrolled in Medicare?

No. Jill Peterson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jill Peterson was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.