David Petersen, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F406902-01 Issued in NY

Practice address

3512 Quentin Rd
Brooklyn, NY 11234-4244

Phone

(888) 515-3834

NPI assigned

Feb 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Che Senior Care Therapy Services, PCGroup PAC ID 8123269149, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Che Senior Care Therapy Services PC

  • Clinical Psychologist
  • King of Prussia, PA
  • NPI 1144666496

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Pine Run Mental Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsport, PA
  • NPI 1902624869
  Medicare reassignment NPD Authorized official
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Genesis House, Inc

  • Clinic/Center
  • Williamsport, PA
  • NPI 1801995832
  NPD (past)

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1225497894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 PINE RUN RD",
            "city": "LINDEN",
            "state": "PA",
            "postal_code": "177448149",
            "telephone_number": "570-215-9965",
            "fax_number": "570-215-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344244",
            "telephone_number": "888-515-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Market St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177016344",
            "country_code": "US",
            "telephone_number": "570-215-9965",
            "fax_number": "570-215-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 W 35th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100012538",
            "country_code": "US",
            "telephone_number": "570-215-9965",
            "fax_number": "570-215-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2319 Pine Run Rd",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "PA",
            "postal_code": "177448149",
            "country_code": "US",
            "telephone_number": "570-916-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SPO30250",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406902-01",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO15897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosamund Peters, NP-C
• Shania Peters, RN
• Talia Peters
• Vanessa Peters, CASAC
• Victor Peters
• Hayley Petersen, NP
• Madison Petersil, RN
• Lisa M Petersilia, LCSW
• Aubrey Rose Peterson Hague, PA-C
• Susan Peterson Roberson, NP

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.