Peter Newsom, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G065766 Issued in CA

Legal business name

PETER NEWSOM, M.D.

Practice address

1187 University Dr
Menlo Park, CA 94025-4423

Phone

(650) 462-9200

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Edward Newsom, M.D.NPI 1093746166

Title

Owner

Phone

(650) 462-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Edward Newsom, M.D.

  • Psychiatry Physician
  • Modesto, CA
  • NPI 1093746166
  NPD (past) Authorized official
• Ilene Diamond, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1720223092
  NPD (past)
• Edward Miklos Kovachy Jr., M.D.

  • Psychiatry Physician
  • Menlo Park, CA
  • NPI 1679798375
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245251248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 UNIVERSITY DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254423",
            "telephone_number": "650-462-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 UNIVERSITY DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254423",
            "telephone_number": "650-462-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER NEWSOM, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-462-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G065766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Private Neurology Inc
• Peninsula Specialty Speech Therapy, PC
• Peninsula Volunteers, Inc.
• Juan Damian Perez, LMSW
• Personalis, Inc.
• Iliana Petersen
• Katherine Peterson, PH.D., L.E.P.
• Kathleen Peterson, NTP
• Carol Efron Peyser, M.D.
• Elizabeth Peyton

• Psychiatry Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.