TERRANCE LEE PETERSON (NPI# 1659587491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659587491 |
| Entity Type | Individual |
| Full Name | TERRANCE LEE PETERSON |
| Credential | PHD LP |
| Practice Address |
911 18th St N Saint Cloud MN 56303-1203 |
| Mailing Address |
Po Box 2390 Saint Cloud MN 56302-2390 |
| Practice Telephone | 3206501660 |
| Practice Fax Number | 3206501672 |
| Mailing Telephone | 3206501660 |
| Mailing Fax Number | 3206501672 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP0615 | MN | Behavioral Health & Social Service Providers |
| Street Address |
911 18TH ST N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750444105 | Frances Mary Reichenberger | Social Worker | 911 18th St N, Saint Cloud, MN 56303-1203 | 2006-12-18 |
| 1841793239 | Alyssa Knese | Social Worker | 911 18th St N, Saint Cloud, MN 56303-1203 | 2018-03-13 |
| 1942710249 | Brittany Reinke | Marriage & Family Therapist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2017-10-02 |
| 1154852309 | Kailly Allyce Bonnett | Counselor | 911 18th St N, Saint Cloud, MN 56303-1203 | 2017-03-21 |
| 1548705668 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 911 18th St N, Saint Cloud, MN 56303-1203 | 2016-12-28 |
| 1568869667 | Rachel Petersen | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2014-12-04 |
| 1851712723 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 911 18th St N, Saint Cloud, MN 56303-1203 | 2013-12-19 |
| 1407163090 | Loretta Theresa Steckelberg | Social Worker | 911 18th St N, Saint Cloud, MN 56303-1203 | 2010-09-03 |
| 1194967067 | Judith L Huber | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2009-03-24 |
| 1730376310 | Melinda A. Heinen | Marriage & Family Therapist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536158 | Joy Marie Sales | Psychologist | 1900 Centracare Cir Ste 2475, Saint Cloud, MN 56303-5000 | 2018-11-13 |
| 1346795077 | Elizabeth Flynn, Pllc | Psychologist | 3400 1st St N Ste 300, Saint Cloud, MN 56303-1927 | 2016-08-23 |
| 1861673030 | John R Krueger | Psychologist | 157 Roosevelt Rd Ste 300, Saint Cloud, MN 56301-5481 | 2007-11-16 |
| 1376753418 | Kristine Marie Wainright-tadych | Psychologist | 1506 33rd Ave N, Saint Cloud, MN 56303-1525 | 2007-05-23 |
| 1982767554 | Susan Hill | Psychologist | 1712 7th Ave S, Saint Cloud, MN 56301-5711 | 2006-12-18 |
| 1134219165 | Anne Cecile Leonard | Psychologist | 22 Wilson Ave Ne, Suite Number 110, Saint Cloud, MN 56304-0440 | 2006-10-13 |
| 1902888555 | Lori Ann Nelson | Psychologist | 600 25th Ave S, Ste 109, Saint Cloud, MN 56301-4841 | 2005-11-18 |
| 1730622192 | Kristin Jurek | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-12-02 |
| 1902265721 | Nicole Hofman Wilke | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-02-22 |
| 1568869667 | Rachel Petersen | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2014-12-04 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.