Daniel B. Peters, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

16823 Issued in CA

Practice address

700 Ygnacio Valley Rd., Ste. 320
Walnut Creek, CA 94596

Phone

(925) 939-7500

Fax

(925) 939-7501

NPI assigned

Jan 16, 2007

Last updated

Mar 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Diana Superfin MD Inc.

  • Clinic/Center
  • Walnut Creek, CA
  • NPI 1568285880
  NPD (past)
• Quest Therapeutic Camps, Inc.

  • Community/Behavioral Health Agency
  • San Ramon, CA
  • NPI 1144421629
  NPD (past)
• Summit Center

  • Psychologist
  • Walnut Creek, CA
  • NPI 1669896189
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1548312275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 YGNACIO VALLEY RD., STE. 320",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-939-7500",
            "fax_number": "925-939-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 YGNACIO VALLEY RD., STE. 320",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-939-7500",
            "fax_number": "925-939-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DANIEL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "16823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personcogene LLC (MyOncoPath)
• Daniel Robert Pestana, D.D.S.
• Peter Chase DDS Ma & Toshi Hart DDS Inc (Medical Dental Concepts)
• Peter Swann MD, Inc (AfterCare Medical Group)
• Aaron Peter
• Johannes Gerhard Peters, MD
• Kate Petersen, PSY.D
• Colleen Peterson
• Leah Taylor Peterson, AU.D.
• Linda Marie Peterson, CNM

• Psychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.