DR. RYAN W PETERSON PSY.D.
NPI 1861688608
Psychologist in Bath, NY

Active since September 14, 2007PECOS Enrolled
115 LIBERTY ST, BATH, NY 14810(607) 776-6577(607) 664-2161 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan W Peterson Psy.d. NPPES

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

DR. RYAN W PETERSON PSY.D. (NPI 1861688608) is an individual psychologist in Bath, New York, licensed in New York (019091-1) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861688608
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RYAN W PETERSONCredential: PSY.D.
Location Address115 LIBERTY STBath, NY 14810-1508
Mailing Address115 Liberty StBath, NY 14810-1508 · (607) 776-6577 · Fax (607) 664-2161
Fax(607) 664-2161
Sole ProprietorYes
Enumeration DateSeptember 14, 2007
Last NPPES UpdateJuly 24, 2012
NPI 1861688608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 019091-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
115 LIBERTY ST, Bath, NY 14810

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan W Peterson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Social Worker (Clinical)
115 LIBERTY ST
BATH, NY 14810
Counselor (Addiction (Substance Use Disorder))
115 LIBERTY ST
BATH, NY 14810
Counselor (Addiction (Substance Use Disorder))
115 LIBERTY ST
BATH, NY 14810
Social Worker (Clinical)
115 LIBERTY ST
BATH, NY 14810
Counselor (Mental Health)
115 LIBERTY ST
BATH, NY 14810
Counselor (Mental Health)
115 LIBERTY ST
BATH, NY 14810
Registered Nurse
115 LIBERTY ST
BATH, NY 14810
Social Worker
115 LIBERTY ST
BATH, NY 14810

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 Ryan Peterson's NPI number?

The NPI number for Ryan Peterson is 1861688608. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Ryan Peterson located?

Ryan Peterson practices at 115 Liberty St, Bath, NY 14810. The listed phone number is (607) 776-6577.

What is Ryan Peterson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ryan Peterson enrolled in Medicare?

Yes. Ryan Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Peterson was last updated on July 24, 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.