Peterson Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PETERSON PSYCHOTHERAPY

Practice address

3537 Beach Dr SE
Saint Petersburg, FL 33705-4101

Phone

(203) 260-6646

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Haley Peterson, LCSWNPI 1811665342

Title

Therapist

Phone

(203) 260-6646

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Peterson, LCSW

  • Clinical Social Worker
  • Washington, DC
  • NPI 1811665342
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1205599271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35205",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337050504",
            "telephone_number": "786-417-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 BEACH DR SE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337054101",
            "telephone_number": "203-260-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "203-260-6646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Peters, RN
• Kimberly Sue Peters, LMHC
• Robert L Peters, DPT
• Stephanie Peters
• Debra Susan Petersen, B.S.ED.
• Carl Peterson, COTA
• Christopher Peterson
• Daniel Peterson
• Felipe Peterson, DPM
• John A. Peterson, MD

• Clinical Social Worker in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.