Active NPI
Joseph Peters, PHD
- Psychologist
- Beaver, PA
National Provider Identifier
1164417382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS002256L
- Practice address
- 219 3Rd St
Beaver, PA 15009-2301 - Phone
- (724) 775-9150
- Fax
- (724) 775-9153
- NPI assigned
- Sep 14, 2005
- Last updated
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS002256L | PA | Primary |
Addresses
Primary practice location
219 3Rd St
Beaver, PA 15009-2301
Mailing address
219 3Rd St
Beaver, PA 15009-2301
Phone (724) 775-9150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1607 3Rd St
Beaver, PA 15009-2420
Phone (724) 728-8411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002256L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Pennsylvania Psych Care, Inc. | Current | Accepting new patients |
Locations
1607 3rd St
Beaver, PA 15009
Phone (724) 728-8400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Beaver, PA
- NPI 1912106782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1164417382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092301",
"telephone_number": "724-775-9150",
"fax_number": "724-775-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092301",
"telephone_number": "724-775-9150",
"fax_number": "724-775-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS002256L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.