Christa Elizabeth Peterson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60581327 Issued in WA

Practice address

18500 156TH Ave NE Ste 202
Woodinville, WA 98072-4459

Phone

(206) 946-8388

NPI assigned

Dec 31, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514678400000",
    "number": "1467969303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20113 NE 122ND PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980775646",
            "telephone_number": "206-940-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 156TH AVE NE STE 202",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724459",
            "telephone_number": "206-946-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-31",
        "last_updated": "2017-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60581327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Patil
• Peacehealth Networks on Demand, LLC
• Joan Pedersen
• Jewel Marie Peot, PHD, LCSW
• Zora L Pesio, ARNP, RNC, MSN
• Lise Mary Peterson, LMP
• Physical Therapy Clinics, Inc., PS
• Physical Therapy Clinics, Inc., PS
• Jessica Pinkerton, LMP
• Pinnacle Sleep Care Northwest LLC

• Psychologist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2017; 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.