Marybeth F Peterson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401516-1 Issued in NY

Practice address

955 Yonkers Ave Ste 102
Yonkers, NY 10704-3062

Phone

(347) 667-7924

Fax

(332) 262-2396

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Livingston CountyGroup PAC ID 8527027093, 10 clinicians

Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Livingston County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Geneseo, NY
  • NPI 1578656302
  Medicare reassignment Care Compare group NPD
• Sehwan Medical Care PLLC

  • Psychiatry Physician
  • Yonkers, NY
  • NPI 1598537250
  Medicare reassignment Care Compare group NPD
• Livingston County

  • Community Based Hospice Care Agency
  • Mount Morris, NY
  • NPI 1326060724
  NPD

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1467748525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7498 OLD BIG CREEK RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439135",
            "telephone_number": "607-324-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 YONKERS AVE STE 102",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043062",
            "telephone_number": "347-667-7924",
            "fax_number": "332-262-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Millennium Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541197",
            "country_code": "US",
            "telephone_number": "518-243-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARYBETH",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401516-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goseema Persaud, RN
• Julia Savitri Persaud, D.V.M
• Personalized Footcare PC
• Peruso Kirshenbaum DDS
• Christine Anita Peters, LCSW, BCBA, LBA
• Aleksandra Petrovic, LMSW
• David Petti, LCSW
• Margaret Petty, MPT
• PHC Services, LTD.
• Sharon Bridget Philbert-Walcott, LPN

• Psychiatric/Mental Health Nurse Practitioner in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.
• 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.