Julie Ann Peters, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5523 Issued in MN

Practice address

1111 28TH St NE
Austin, MN 55912-6410

Phone

(507) 433-1843

NPI assigned

Jan 8, 2007

Last updated

Apr 26, 2018By the provider in NPPES

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

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

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.

• Gerard Treatment Programs

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Austin, MN
  • NPI 1972650893
  NPD (past)
• Gerard Treatment Programs, LLC

  dba Gerard Academy

  • Child & Adolescent Psychiatry Physician
  • Austin, MN
  • NPI 1750631115
  NPD (past)
• Bend Health Psychiatric Services New England PA

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
  • NPI 1932864022
  NPD (past)
• Bend Health Psychiatric Services South Central PA

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
  • NPI 1861157968
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1629126230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 28TH ST NE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559126410",
            "telephone_number": "507-433-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 28TH ST NE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559126410",
            "telephone_number": "507-433-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 130th Ave S",
            "address_purpose": "LOCATION",
            "city": "Onamia",
            "state": "MN",
            "postal_code": "563593115",
            "country_code": "US",
            "telephone_number": "320-532-4005 x511",
            "fax_number": "320-532-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Oghogho Oyiborunoh
• Cyndee Lynne Pakyurek, PHD
• Colin Patterson
• Caitlin Teresa Pederson, PHARMD
• Liyanage Ashanthi Menaka Perera, M.D.
• Stacy Petersen
• Heather A Peterson, LICSW
• Kristen Rae Petterson, CNP
• Julianna Phatame
• Ruth Ann Pickering, D.O.

• Psychologist in Austin, MN
• Providers in Austin, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.