Janet M Peterson, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33641 Issued in TX

Practice address

12450 W Summerlin
#3
Conroe, TX 77302-3572

Phone

(832) 764-9036

NPI assigned

Oct 28, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Everhealth ,PLLC

  • Psychiatry Physician
  • Tomball, TX
  • NPI 1306872791
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1487807947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 SOUTHLAKE DR",
            "address_2": "#3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776750",
            "telephone_number": "361-894-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 W SUMMERLIN",
            "address_2": "#3",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773023572",
            "telephone_number": "832-764-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JANET",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Perkins, APRN-CNM
• Perri Dermatology, PLLC Inc
• Anthony Joseph Perri III, MD
• John Edward Perry III, M.D.
• Mark Phillip Peters, D.D.S.
• Kendall Peterson
• Rajeev S. Pethe, M.D.
• Kathleen M Petrak, LPC
• Jeffery Petrosky
• Donna Pettiet, LVN

• Clinical Psychologist in Conroe, TX
• Providers in Conroe, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.