Mark William Peterson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10978 Issued in TN

Practice address

1 Northgate Park
New Beginnings Counseling Center Ste 201
Chattanooga, TN 37415

Phone

(423) 870-5647

Fax

(423) 870-5545

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Beginnings Counseling Center PLLC

  • Adult Mental Health Clinic/Center
  • Chattanooga, TN
  • NPI 1265509137

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1891894648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTHGATE PK",
            "address_2": "STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-870-5647",
            "fax_number": "423-870-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHGATE PARK",
            "address_2": "NEW BEGINNINGS COUNSELING CENTER STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-870-5647",
            "fax_number": "423-870-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "10978",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "32019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Peterson, RPH
• Anita Peterson, CRNA
• Edward Andrew Peterson, MD
• Erika Dionne Peterson
• Geoffrey Deane Peterson, APN
• Sarah Elizabeth Peterson, PT, DPT
• Steven Michael Peterson, M.D.
• Thomas R Peterson, MD
• Morgan Petet, M.S., MFT-I
• Adriene Petmecky, LCSW, CT

• Psychiatry Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.