DR. SHELLY LYNNE PETERSON PHD
NPI 1902159031
Psychologist - Clinical in Leawood, KS

Q: What is Shelly Peterson's NPI number?

The NPI number for Shelly Peterson is 1902159031. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Q: What is Shelly Peterson'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 Shelly Peterson was last updated on March 16, 2019. 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.

Active since October 26, 2012

11100 ASH ST STE 100, LEAWOOD, KS 66211(913) 735-9007 Get Directions Write a Review

NPPES record last updated: March 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shelly Lynne Peterson Phd NPPES

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

DR. SHELLY LYNNE PETERSON PHD (NPI 1902159031) is an individual clinical provider in Leawood, Kansas, licensed in Kansas (2112) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1902159031

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHELLY LYNNE PETERSONCredential: PHD

Location Address11100 ASH ST STE 100Leawood, KS 66211-1700

Mailing Address11100 Ash St Ste 100Leawood, KS 66211-1700 · (913) 735-9007

Phone(913) 735-9007

Sole ProprietorYes

Enumeration DateOctober 26, 2012

Last NPPES UpdateMarch 16, 2019

✔ NPI 1902159031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in KS · 2112✔ Licensed in KS · TLP-2112

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.

11100 ASH ST STE 100, Leawood, KS 66211

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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 Shelly Peterson's NPI number?

The NPI number for Shelly Peterson is 1902159031. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Shelly Peterson located?

Shelly Peterson practices at 11100 Ash St Ste 100, Leawood, KS 66211. The listed phone number is (913) 735-9007.

What is Shelly Peterson'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 Shelly Peterson was last updated on March 16, 2019. 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.