Jeremy Peterman

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

200 Tamal PLZ Ste 235
Corte Madera, CA 94925-1070

Phone

(415) 297-0815

NPI assigned

Mar 9, 2015

Sex

Male

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

Practice roles

Locations

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.

• Peterman Psychological Services, PC

  • Clinical Psychologist
  • Corte Madera, CA
  • NPI 1629596986
  NPD Authorized official

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1841683257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 235",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251070",
            "telephone_number": "415-297-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 235",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251070",
            "telephone_number": "415-297-0815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 San Clemente Dr Ste D210",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251297",
            "country_code": "US",
            "telephone_number": "415-980-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Menlo Ave",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254728",
            "country_code": "US",
            "telephone_number": "415-980-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Pearson, LMFT
• Gabrielle Perelmuter, MOT OTR/L
• Jacqueline Annette Perlmutter, RAS
• Margaret S. Perlstein, MFT
• Peterman Psychological Services, PC
• Katherine Peterman
• Alexis Christine Petrakis, PSY.D.
• Nicole Petrosky, PA-C
• Anya Peysakhovich, PA-C
• Kristine L. Pfleiderer, D.M.H.

• Psychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.