Joseph Patrick Peterson, PHD, JD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003363 Issued in FL

Practice address

4441 Kimberly Cir
Tallahassee, FL 32309-9624

Phone

(850) 597-2425

NPI assigned

Aug 25, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1376421586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11064",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323023064",
            "telephone_number": "850-597-2425",
            "fax_number": "850-671-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 KIMBERLY CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323099624",
            "telephone_number": "850-597-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PHD, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Peters, M.A., SLP-CCC
• Nic'Kiah Peters
• Rachel Peters
• Erik Peterson
• Jimmeal Peterson, LCSW
• Teaundra Peterson
• Torrance Amber Peterson
• Jasmina Breeze Petkoff
• Mandy Elizabeth Petroski-Moore, LCSW
• Anacristina Petrovich, OD

• Clinical Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.