Joanne Peterson Edd LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

796 Issued in SC

Legal business name

JOANNE PETERSON EDD LLC

Practice address

40 Baynard Cove Rd
Hilton Head Island, SC 29928-4135

Phone

(815) 409-6606

Fax

(843) 363-9997

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Joanne Peterson, EDDNPI 1750475430

Title

Sole Practitioner

Phone

(815) 409-6606

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Peterson, ED.D

  • Psychologist
  • Hilton Head Island, SC
  • NPI 1750475430
  NPD (past) Authorized official

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1548711641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAYNARD COVE RD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284135",
            "telephone_number": "815-409-6606",
            "fax_number": "843-363-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BAYNARD COVE RD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284135",
            "telephone_number": "815-409-6606",
            "fax_number": "843-363-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE PETERSON EDD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "815-409-6606",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "SC",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig W Jackson, DDS
• William Robert Jarvis, M.D.
• Elaine T Jeffers, D.C.
• Jeffery M. Reuben, M. D. , PA (Reuben Spine Specialists)
• Roger Eugene Jinkins, M.D.
• Ashley Brooke Johnson
• Brooke Lauren Johnson, OTR
• Bruce Rob Johnson, D.C.
• Cameron Johnson, PT, DPT
• John Michael Johnson, OD

• Psychologist in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Psychologist in South Carolina

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