DR. JOEL NICHOLAS PETERSON (NPI# 1437143997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437143997 |
| Entity Type | Individual |
| Full Name | DR. JOEL NICHOLAS PETERSON |
| Credential | M.D. |
| Practice Address |
Naval Medical Center San Diego 34800 Bob Wilson Drive San Diego CA 92134-0001 |
| Practice Telephone | 6197231961 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
1437143997 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE PHYSICIAN'S LICENSE | 01058049A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407298359 | Joel Peterson | Pharmacist | 667 Jamestown Blvd, #1066, Altamonte Springs, FL 32714-4679 | 2013-07-19 |
| 1801989975 | Joel Brandon Peterson | Dentist | 3466 Holiday Ct, Bettendorf, IA 52722-3496 | 2006-10-02 |
| 1902459530 | Joel Dennis Peterson | Optometrist | 3042 Hennepin Ave, Minneapolis, MN 55408-2614 | 2019-07-23 |
| 1770087710 | Joel Peterson | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2018-03-23 |
| 1336408699 | Joel Jeffrey Peterson | Pharmacist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2012-05-08 |
| Street Address |
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838695 | Adolph C Garza | Dentist | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2005-08-15 |
| 1699397554 | Derek Booth | Military Health Care Provider | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2020-05-14 |
| 1952922874 | Jared Andrew Ingersoll | Military Health Care Provider | Naval Medical Center San Diego, 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-01 |
| 1336776830 | Jordana Brooke Herr | Military Health Care Provider | Naval Medical Center San Diego, 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-25 |
| 1982257796 | John Parker Northrop | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr., San Diego, CA 92134-5000 | 2019-07-21 |
| 1225597321 | John Fahy | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2019-03-18 |
| 1659830131 | Richard William Lang IIi | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Drive, San Diego, CA 92134-5000 | 2019-03-14 |
| 1316436538 | Gabriel Christopher Mendoza Lapid | Military Health Care Provider | Naval Medical Center San Diego, San Diego, CA 92134-5000 | 2018-05-03 |
| 1043708324 | Adrian Aceves-hurtado | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr., San Diego, CA 92134-5000 | 2018-04-23 |
| 1457848657 | John Lofrese | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr., San Diego, CA 92134-5000 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951620 | Dymphna San Diego Tms Inc | Psychiatry & Neurology | 10850 Baroque Ln Ste A, San Diego, CA 92124-3029 | 2020-04-25 |
| 1316581846 | Botkiss Center for Recovery | Psychiatry & Neurology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2019-10-28 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1629501770 | Amanda Suzette Freitas | Psychiatry & Neurology | 11634 Maroon Peak Ct, San Diego, CA 92131-3846 | 2017-04-06 |
| 1114312147 | Jaclyn Joyce | Psychiatry & Neurology | 3344 4th Ave Ste 100, San Diego, CA 92103-5704 | 2015-04-07 |
| 1326433525 | Azin Khazaeli | Psychiatry & Neurology | 4445 Eastgate Mall Fl 2, San Diego, CA 92121-1979 | 2015-04-03 |
| 1083054639 | Kiran Sufian Munir | Psychiatry & Neurology | 8170 Miramar Rd, San Diego, CA 92126-4321 | 2013-06-27 |
| 1457799462 | Charles Howard Merideth | Psychiatry & Neurology | 8889 Rio San Diego Dr, Suite 103, San Diego, CA 92108-1670 | 2013-06-12 |
| 1114363876 | Safi Ahmed | Psychiatry & Neurology | 200 W Arbor Dr # 8809, San Diego, CA 92103-1911 | 2013-05-21 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.