Peterman Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PETERMAN PSYCHOLOGICAL SERVICES, PC

Practice address

200 Tamal PLZ Ste 235
Corte Madera, CA 94925-1070

Phone

(415) 297-0815

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Peterman, PHDNPI 1841683257

Title

Director

Phone

(415) 980-1130

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Peterman

  • Psychologist
  • Corte Madera, CA
  • NPI 1841683257
  NPD Authorized official

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1629596986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 235",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251070",
            "telephone_number": "415-297-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 235",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251070",
            "telephone_number": "415-297-0815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 San Clemente Dr Ste D210",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251297",
            "country_code": "US",
            "telephone_number": "415-980-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Menlo Ave",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254728",
            "country_code": "US",
            "telephone_number": "415-980-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETERMAN PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-980-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Cameron, DDS
• Katherine Pearson, LMFT
• Gabrielle Perelmuter, MOT OTR/L
• Jacqueline Annette Perlmutter, RAS
• Margaret S. Perlstein, MFT
• Jeremy Peterman
• Katherine Peterman
• Alexis Christine Petrakis, PSY.D.
• Nicole Petrosky, PA-C
• Anya Peysakhovich, PA-C

• Clinical Psychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.