Molly Peter, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38402 Issued in TX

Practice address

9701 Brodie LN Ste 205
Austin, TX 78748-6284

Phone

(512) 417-9123

NPI assigned

Sep 16, 2020

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Greenbelt Psychological Services, PLLC

  • Psychologist
  • Austin, TX
  • NPI 1407503063
  Medicare reassignment NPD Authorized official
• Levy Psychological Associates PLLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1255759239
  Medicare reassignment NPD
• PM Management - Cedar Park NC LLC

  • Skilled Nursing Facility
  • Cedar Park, TX
  • NPI 1548527963
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1235745183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486284",
            "telephone_number": "512-420-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486284",
            "telephone_number": "512-417-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "MOLLY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osvaldo Hector Perurena, MD
• Carly Krumnow Peschke, CRNA
• Elijah Pesudas, LMT
• Peter a. Kangos, MD, PA
• Peter Broberg, MD and Associates, PA
• Glenda Jean Peters-DO, M.D.
• Brian Jay Peters, D.M.D.
• Brianne Lynn Peters
• Carol L Peters, MD
• Crystal Renee' Peters, DDS

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.