Individual provider Active NPI

Laurie J Deerfield, DO

  • Psychiatry Physician
  • Holly Hill, FL
National Provider Identifier
1689676207
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3156 Issued in ME
Practice address
241 Riverside Dr
Unit 1907
Holly Hill, FL 32117
Phone
(856) 397-3970
Fax
(856) 397-3970
NPI assigned
Aug 12, 2005
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS8079 FL
Psychiatry Physician 2084P0800X DO3156 ME Primary
Psychiatry Physician 2084P0800X 25MB07419 NJ

Addresses

Primary practice location

241 Riverside Dr
Unit 1907
Holly Hill, FL 32117

Mailing address

241 Riverside Dr
Unit 1907
Holly Hill, FL 32117
Phone (856) 397-3970

Other names 1

  • Laurie J Peterson-Deerfield Former name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8079FLMDPsychiatry Physician
25MB07419NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie J Peterson-Deerfield Psychiatry PastSince Jan 1, 1990 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1689676207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 RIVERSIDE DR",
            "address_2": "UNIT 1907",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "856-397-3970",
            "fax_number": "856-397-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 RIVERSIDE DR",
            "address_2": "UNIT 1907",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "856-397-3970",
            "fax_number": "856-397-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERFIELD",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS8079",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO3156",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB07419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "PETERSON-DEERFIELD",
            "middle_name": "J",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.