Linda M. Peterson, CP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1220 Issued in CO

Practice address

3445 Penrose PL
Suite 250
Boulder, CO 80301-1877

Phone

(303) 449-9494

Fax

(303) 447-6453

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dawn O Taylor PHD PC

  • Psychologist
  • Boulder, CO
  • NPI 1093896607
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1023178761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044263",
            "telephone_number": "303-449-9494",
            "fax_number": "303-447-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL",
            "address_2": "SUITE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011877",
            "telephone_number": "303-449-9494",
            "fax_number": "303-447-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LINDA",
        "middle_name": "M.",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1220",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07012206",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Peters, DC
• Julie Petersen-Hanson, PT
• Anja Keb Peterson, REGISTERED NURSE
• Devin Elizabeth Peterson
• Faye Kornfeld Peterson, L.P.C.
• Mekenna Peterson, ATC, SA
• Morgan A Peterson
• Nancy Anne Peterson, PA-C
• Tina Leanne Peterson, MA, LPCC
• Vicky Ann Peterson, LCSW

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.