Robin R. Peterson, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001232 Issued in IA

Practice address

1035 Lincoln Rd
Ste 202
Bettendorf, IA 52722-4149

Phone

(563) 355-4879

Fax

(563) 355-4879

NPI assigned

Mar 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Robin Peterson Psy D LLC

  • Psychologist
  • Bettendorf, IA
  • NPI 1053078477
  Medicare reassignment NPD Authorized official
• Psychology Health Group

  • Psychologist
  • Davenport, IA
  • NPI 1629090675
  Medicare reassignment

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1124392477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LINCOLN RD STE 202",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224149",
            "telephone_number": "563-355-4879",
            "fax_number": "563-355-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LINCOLN RD",
            "address_2": "STE 202",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224149",
            "telephone_number": "563-355-4879",
            "fax_number": "563-355-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROBIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Petefish, PHARMD
• Elizabeth Grace Peters, MA,CCC-SLP
• Joseph Conner Peters, OD
• Olivia Anna Peters, PA-C
• Joel Brandon Peterson, D.D.S.
• Melissa Margaret Peyton, PA-C
• Phelps Consulting & Training, LLC
• Megan Phillips
• Physical Resolution Home Based Rehabilitation Services Inc
• Robert Picchiotti, M.D

• Psychologist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.