Jeanne M. Peterson, PH.D., Psychologist, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14612A Issued in CA

Legal business name

JEANNE M. PETERSON, PH.D., PSYCHOLOGIST, INC.

Practice address

2752 B St Unit 112
San Diego, CA 92102-1091

Phone

(619) 952-8076

NPI assigned

Oct 9, 2007

Last updated

Jun 21, 2013By 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

Jeanne Peterson, PH.D.NPI 1114075397

Title

Owner, Ceo

Phone

(619) 952-8076

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Jeanne Peterson, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1114075397
  Medicare reassignment NPD Authorized official
• Joanna Rose Benavidez, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1922525542
  NPD (past)
• David Alan Boucher, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1518966340
  NPD (past)
• David Wesley Brown, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1548337835
  NPD (past)
• Jean Louise Hebert-Brown, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1205808763
  NPD (past)
• Kim Christine Roser-Kedward, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1750417952
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1417145079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 B ST UNIT 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021091",
            "telephone_number": "619-952-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 B ST UNIT 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021091",
            "telephone_number": "619-952-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE M. PETERSON, PH.D., PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "619-952-8076",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14612A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean-Jacques Abitbol M D a Medical Corporation
• Nancy Jean-Jacques, RBT
• Carolle Jean-Murat, MD
• Emilie Martine Jean, RRT
• Willey McNelly Jean
• Jeannette Gilmore Integrative Therapies
• Hannah Jeansonne, ASW
• Abigayle Jeardoe
• Vera Jebrael
• Jeff Schanowitz PHD Inc

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.