Janis L Peterson PHD

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JANIS L PETERSON PHD

Practice address

4411 Point Fosdick Dr Ste 307
Gig Harbor, WA 98335-1703

Phone

(253) 851-3808

Fax

(253) 851-3188

NPI assigned

Dec 9, 2021

Last updated

Dec 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janis L Peterson, PHDNPI 1962581561

Title

President

Phone

(253) 851-3808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janis Lynne Peterson, PH.D.

  • Clinical Psychologist
  • Gig Harbor, WA
  • NPI 1962581561
  Authorized official Same address or phone

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1043979891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 307",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-3808",
            "fax_number": "253-851-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 307",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-3808",
            "fax_number": "253-851-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIS L PETERSON PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-851-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annaliese Jacobsson, LICSW, MSW, BSW
• Jennifer Nadine Jaggi, MD
• Esther C Jakawich, ARNP
• Janeen Provazek Ma PS
• CJ Chang-Tae Jang, DDS
• Ka Ning Jellison, PHARMD
• Jennifer Scroggie PLLC
• Richard Frederick Jensen, PH.D.
• Robert Dean Jensen, M.D.
• Jessica Yearwood MD PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.