GEORGE A PETERSON (NPI# 1669917399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669917399 |
| Entity Type | Individual |
| Full Name | GEORGE A PETERSON |
| Credential | PH.D. |
| Practice Address |
Po Box P 20 Sanchez Rd Ste P Forest Knolls CA 94933-0713 |
| Practice Telephone | 4154884855 |
| Mailing Telephone | 4154884855 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY22173 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295139855 | George Malakye Peterson | Nurse Practitioner | 1215 S Coulter St Ste 202, Amarillo, TX 79106-1767 | 2014-10-10 |
| 1942397799 | George Dwight Peterson | Specialist | 5450 Macdonald Avenue, Suite 12, Key West, FL 33040 | 2006-10-05 |
| 1821182072 | George William Peterson | Family Medicine | 113 Main St, Newton, NJ 07860-2037 | 2006-10-03 |
| Street Address |
PO BOX P 20 SANCHEZ RD STE P |
| City | FOREST KNOLLS |
| State | CA |
| Zip Code | 94933-0713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831337534 | Serenity Knolls, Inc. | Substance Abuse Rehabilitation Facility | 145 Tamal Road, Forest Knolls, CA 94933 | 2009-02-03 |
| 1396726626 | Serenity Knolls | Clinic/Center | 145 Tamal Road, Forest Knolls, CA 94933 | 2005-11-14 |
| 1760617948 | Nancy Jean Carlyle | Registered Nurse | 15 Aztec Ave., Forest Knolls, CA 94933-0783 | 2009-05-18 |
| 1124580972 | Marcia Bradley Branca | Marriage & Family Therapist | 87 Aztec Avenue, Forest Knolls, CA 94933-0819 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580972 | Marcia Bradley Branca | Marriage & Family Therapist | 87 Aztec Avenue, Forest Knolls, CA 94933-0819 | 2019-04-02 |
| 1760617948 | Nancy Jean Carlyle | Registered Nurse | 15 Aztec Ave., Forest Knolls, CA 94933-0783 | 2009-05-18 |
| 1831337534 | Serenity Knolls, Inc. | Substance Abuse Rehabilitation Facility | 145 Tamal Road, Forest Knolls, CA 94933 | 2009-02-03 |
| 1396726626 | Serenity Knolls | Clinic/Center | 145 Tamal Road, Forest Knolls, CA 94933 | 2005-11-14 |
| 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 |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | FOREST KNOLLS |
| Zip Code | 94933 |
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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.