ADAM DAVID PETERSON (NPI# 1467978858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467978858 |
| Entity Type | Individual |
| Full Name | ADAM DAVID PETERSON |
| Credential | PSY.D. |
| Practice Address |
3200 Vine Street Office B125a Cincinnati OH 45220 |
| Mailing Address |
3200 Vine St Ofc B125a Cincinnati OH 45220-2213 |
| Practice Telephone | 5138613100 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P.07609 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358018 | Adam Peterson | Counselor | 200 Beatty St, Medford, OR 97501-5811 | 2020-05-27 |
| 1659724177 | Adam Peterson | Student in an Organized Health Care Education/Training Program | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2016-07-20 |
| 1033539937 | Adam Peterson | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2014-04-18 |
| 1306263595 | Adam Peterson | Rehabilitation Practitioner | 1255 Curti Dr, Reno, NV 89502-1708 | 2014-03-25 |
| 1891049177 | Adam Gregory Peterson | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2012-11-07 |
| 1578871810 | Adam Peterson | Counselor | 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086-7624 | 2010-09-21 |
| Street Address |
3200 VINE STREET OFFICE B125A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777932 | Dana Theis Breazeale | Nurse Practitioner | 3200 Vine Street, Cincinnati, OH 45208 | 2006-02-03 |
| 1497021174 | Megan A Reeme | Social Worker | 3200 Vine Street, Va Medical Center, Cincinnati, OH 45220 | 2012-03-28 |
| 1093966939 | Katherine Louise Hand | Nurse Practitioner | 3200 Vine Street, Cincinnati, OH 45220 | 2008-10-09 |
| 1124277215 | Linda Joan Daigle | Physical Therapy Assistant | 3200 Vine Street, Cincinnati, OH 45220 | 2008-09-12 |
| 1710187257 | Anthony Dion Lee | Occupational Therapy Assistant | 3200 Vine Street, Va Medical Center, Cincinnati, OH 45220 | 2007-07-23 |
| 1225139306 | Robert Michael Anthenelli | Psychiatry & Neurology | 3200 Vine Street, Cincinnati, OH 45220 | 2006-09-25 |
| 1093812356 | Diana Moore | Nurse Practitioner | 3200 Vine Street, Va Medical Center, Cincinnati, OH 45220-2213 | 2006-09-20 |
| 1982718706 | Lynn Marie Bergquist | Internal Medicine | 3200 Vine Street, Dept of Veterans Affairs Medical Center, Cincinnati, OH 45220-2447 | 2006-08-18 |
| 1457464059 | John Gerard Bendele Jr. | Nurse Anesthetist, Certified Registered | 3200 Vine Street, Veterans Affairs Medical Center, Cincinnati, OH 45020 | 2006-08-16 |
| 1659399608 | Courtney Payne Persinger | Urology | 3200 Vine Street, Veterans Hospital, Cincinnati, OH 45200 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1285286310 | Lisa M Leonard | Psychologist | 1010 Delta Ave Apt 3, Cincinnati, OH 45208-3159 | 2019-07-09 |
| 1083190565 | Katrina Renee Lenz | Psychologist | 2035 Weyer Ave Apt 7, Cincinnati, OH 45212-3066 | 2018-07-17 |
| 1528571841 | Livewell Group | Psychologist | 7781 Cooper Rd, 2nd Floor, Suite 5, Cincinnati, OH 45242-7728 | 2017-11-08 |
| 1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1508225152 | Haviva Epstein Randolph | Psychologist | 7650 Elbrook Ave, Cincinnati, OH 45237-2204 | 2016-02-10 |
| 1174914055 | Benjamin David Dickstein | Psychologist | 323 W 5th St Frnt 1n, Cincinnati, OH 45202-2772 | 2015-02-12 |
| 1629468228 | Amber Stevens | Psychologist | 2245 Gilbert Ave Ste 303, Cincinnati, OH 45206-3000 | 2015-02-03 |
| 1609292606 | Farrah Jacquez | Psychologist | 225 Calhoun St, Suite 280, Cincinnati, OH 45219-1528 | 2014-03-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
Please comment or provide details below to improve the information on ADAM DAVID PETERSON.
| 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.