Individual provider Active NPI

Halloran Peterson, MD

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1801241328
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
307938 Issued in LA
Practice address
400 Poydras St Ste 1950
New Orleans, LA 70130-3341
Phone
(504) 322-3837
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 307938 LA Primary

Addresses

Primary practice location

400 Poydras St Ste 1950
New Orleans, LA 70130-3341

Mailing address

400 Poydras St Ste 1950
New Orleans, LA 70130-3341
Phone (504) 322-3837

Other practice location 1

1430 Tulane Ave
SL-50
New Orleans, LA 70112-2632
Phone (504) 988-7809

Other practice location 2

1950 Circle Of Hope Dr Rm 1570
Salt Lake City, UT 84112-5500
Phone (801) 581-8781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220114002177 LA Practitioner - Psychiatry 4486949179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Oaks IncGroup PAC ID 5193799492, 8 clinicians

Practice addresses (Care Compare)

1525 River Oaks Rd W
New Orleans, LA 70123-2162
Phone (504) 733-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
307938LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Inc Psychiatry Current Accepting new patients
River Oaks Inc CurrentSince Jan 10, 2022 Accepting new patients

Locations

1430 Tulane Ave
#50
New Orleans, LA 70112
Phone (504) 988-1332

1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

Organizations & group practices 2

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1801241328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 POYDRAS ST STE 1950",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303341",
            "telephone_number": "504-322-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 POYDRAS ST STE 1950",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303341",
            "telephone_number": "504-322-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Tulane Ave",
            "address_2": "SL-50",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122632",
            "country_code": "US",
            "telephone_number": "504-988-7809",
            "fax_number": "504-988-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Circle Of Hope Dr Rm 1570",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841125500",
            "country_code": "US",
            "telephone_number": "801-581-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "HALLORAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "307938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.