Robert Lee Peterson, PSY.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

CSSP-18 Issued in WY

Practice address

11198 Goose Creek Cir
Casper, WY 82609-4276

Phone

(307) 267-7224

NPI assigned

Jan 19, 2007

Last updated

Jan 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accredited Case Management

  • Case Management Agency
  • Casper, WY
  • NPI 1093026973
  NPD Authorized official
• Acm Therapy Group LLC

  • Developmentally Disabled Services Day Training Agency
  • Casper, WY
  • NPI 1023346053
  NPD Authorized official
• Acm Therapy Group LLC

  • Occupational Therapist
  • Casper, WY
  • NPI 1306101803
  NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1518010636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11198 GOOSE CREEK CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094276",
            "telephone_number": "307-267-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11198 GOOSE CREEK CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094276",
            "telephone_number": "307-267-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "CSSP-18",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WY",
            "license": "CSSP-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023346053",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116545300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Leon Peters, MD
• Roberta A Peters, RN
• Mary Petersen
• Jacob Dean Peterson, DDS
• Jessica Ann Peterson, CPNP-PC
• Archie Maurice Pettry III, M.S.
• Ashleigh Carolyn Petty
• Pharmaceutical Compounding Specialists of Wyoming
• Pharmacy Solutions Inc
• Pharmworx LLC (Medicap - Casper, WY)

• School Psychologist in Casper, WY
• Providers in Casper, WY by specialty
• School Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.