Active NPI
Amber Rose Peters, TLLP
- Psychologist
- Midland, MI
National Provider Identifier
1689398018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009635
- Practice address
- 3600 N Saginaw Rd
Midland, MI 48640-2301 - Phone
- (989) 510-7626
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362009635 | MI | Primary |
Addresses
Primary practice location
3600 N Saginaw Rd
Midland, MI 48640-2301
Mailing address
2142 Brockway St
Saginaw, MI 48602-2718
Phone (989) 327-9437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009635 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton County Medical Center Psychological Services PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Saint Johns, MI
- NPI 1538973144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1689398018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 BROCKWAY ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486022718",
"telephone_number": "989-327-9437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 N SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402301",
"telephone_number": "989-510-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "AMBER",
"middle_name": "ROSE",
"credential": "TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.