Peterson Psychological Services, Inc

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

119 Issued in MT

Legal business name

PETERSON PSYCHOLOGICAL SERVICES, INC

Practice address

18 N. 8TH St
Miles City, MT 59301

Phone

(406) 232-1595

Fax

(406) 232-1595

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

F Tom Peterson, ED.D.

Title

Clinical Psychologist

Phone

(406) 232-1595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1679812937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593010176",
            "telephone_number": "406-232-1595",
            "fax_number": "406-232-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N. 8TH ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "406-232-1595",
            "fax_number": "406-232-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "406-232-1595",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MT",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Paul, PHARMD RPH
• Asta Paulson
• Samantha Paxson, LCPC
• Pendelton House Assisted Living
• Paula Ellen Petersen, AU
• F Tom Peterson, EDD LICENSE PSYCHOLO
• Caleb Wayde Petross
• Patricia June Pezzarossi, M.D.
• Paula L Plog, PA-C
• Angela Carrie Ponessa

• Clinical Child & Adolescent Psychologist in Miles City, MT
• Providers in Miles City, MT by specialty
• Clinical Child & Adolescent Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.