Peterson Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1472 Issued in KY

Legal business name

PETERSON PSYCHOLOGICAL SERVICES, PLLC

Practice address

159 Saint Matthews Ave Ste 3
Louisville, KY 40207-3137

Phone

(502) 721-0435

Fax

(502) 721-0436

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anna Louise Peterson, PH.D.NPI 1285747907

Title

Clinical Psychologist/President

Phone

(502) 721-0435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

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

• Anna L Peterson

  • Psychologist
  • Louisville, KY
  • NPI 1285747907
  Medicare reassignment NPD Authorized official
• Patricia G. McGinty, PH.D.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1023018694
  NPD (past)
• Juliette Siegel Murray, PH.D.

  • Counseling Psychologist
  • Louisville, KY
  • NPI 1508972225
  NPD (past)
• Tamara Roberts, PH.D.

  • Psychologist
  • Louisville, KY
  • NPI 1396758579
  NPD (past)

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1255755120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 SAINT MATTHEWS AVE STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073137",
            "telephone_number": "502-721-0435",
            "fax_number": "502-721-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SAINT MATTHEWS AVE STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073137",
            "telephone_number": "502-721-0435",
            "fax_number": "502-721-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "502-721-0435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Allen Peters, APRN
• Samuel Peters, HIS
• Bradley Petersen, PT, DPT
• Guy F. Petersen, D.C.
• Peterson Medical Transportation LLC (Peterson Medical Transportation)
• Anna L Peterson
• Carol B Peterson, ED. D.
• Dale L Peterson, PHD
• Edwina Peterson
• Eleanor B Peterson, M.D.

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.