Allison Renae Petersen, M.S., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48950 Issued in CA

Practice address

1720 S Amphlett Blvd
Suite 118
San Mateo, CA 94402-2702

Phone

(650) 532-0515

Fax

(650) 655-2797

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1760699524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STARVIEW WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311229",
            "telephone_number": "415-920-9971",
            "fax_number": "650-655-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S AMPHLETT BLVD",
            "address_2": "SUITE 118",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022702",
            "telephone_number": "650-532-0515",
            "fax_number": "650-655-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ALLISON",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Pertsch, M.D.
• Jennifer L Perzichilli, L.AC.
• Peter Ehrhorn Marriage and Family Therapy Professional Corporation
• Peter H Lam DDS Inc
• Christopher Michael Peters
• Gretchen Kelley Petersen, R.N.
• Mackenzie Erin Peterson
• Tara Peterson, BCBA
• Frank Petropoulos
• Yashawn Pettigrew

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.