Aaron Michael Peterson, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M3690 Issued in TX

Practice address

9525 Katy Fwy Ste 138
Houston, TX 77024-1433

Phone

(713) 446-1611

NPI assigned

Sep 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Specialty

Psychiatry

Education

Kansas City University of Physicians and Surgeons, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Village Psychiatry, PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1457963209
  NPD Authorized official
• Memorial Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1699521138
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1457545303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 KATY FWY STE 138",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241433",
            "telephone_number": "713-446-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 KATY FWY STE 138",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241433",
            "telephone_number": "713-446-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Post Oak Place Dr",
            "address_2": "130",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770273164",
            "country_code": "US",
            "telephone_number": "713-960-8008",
            "fax_number": "713-960-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M3690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSMBE",
            "identifier": "M3690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Carol Petersen, M.D.
• Russell Scott Petersen Jr., DO
• Sara Petersen, MD
• Teresa F Petersen, LCSW
• Peterson Dna Testing
• Brandi Peterson, M.S.
• Brooke Peterson
• Carl Peterson, MBA, ATP
• Carol Crandall Peterson
• Casey J. Peterson, ATP

• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.