J. PETERSON, PH.D., LLC
NPI 1891992988
Psychologist in Shepherdstown, WV

Active since July 02, 2007
129 EAST GERMAN ST., SUITE 210, SHEPHERDSTOWN, WV 25443(304) 876-3766(304) 876-8431 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J. Peterson, Ph.d., Llc NPPES

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

J. PETERSON, PH.D., LLC (NPI 1891992988) is a healthcare organization registered as a psychologist in Shepherdstown, West Virginia and active in the NPI registry since July 2007. The organization lists Joanne Peterson, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1891992988
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJ. PETERSON, PH.D., LLC
Location Address129 EAST GERMAN ST., SUITE 210Shepherdstown, WV 25443-1650
Mailing AddressPo Box 1650Shepherdstown, WV 25443-1650 · (304) 876-3766 · Fax (304) 876-8631
Fax(304) 876-8431
Organization SubpartNo
Authorized OfficialJoanne PetersonPsychologist · (304) 876-3766
Enumeration DateJuly 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1891992988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WV · 741
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.
129 EAST GERMAN ST., Shepherdstown, WV 25443

Other Identifiers 1

Medicaid9480075000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 J. Peterson, Ph.D., LLC's NPI number?

The NPI number for J. Peterson, Ph.D., LLC is 1891992988. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is J. Peterson, Ph.D., LLC located?

J. Peterson, Ph.D., LLC is located at 129 East German St. Suite 210, Shepherdstown, WV 25443. The listed phone number is (304) 876-3766.

What is J. Peterson, Ph.D., LLC'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 J. Peterson, Ph.D., LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.