JENYFFER PETERSON (NPI# 1760734032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760734032 |
| Entity Type | Individual |
| Full Name | JENYFFER PETERSON |
| Practice Address |
3939 Atlantic Ave Suite 103 Long Beach CA 90807-3536 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 5622646001 |
| Practice Fax Number | 5622646006 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28968 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3939 ATLANTIC AVE SUITE 103 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043332 | Crystal Home Health Care Services,inc. | Home Health | 3939 Atlantic Ave, Suite 202, Long Beach, CA 90807-3536 | 2006-05-23 |
| 1659983617 | Lindsay Packard | Student in an Organized Health Care Education/Training Program | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2020-08-20 |
| 1720603251 | Yordanos Zemuy | Rehabilitation Practitioner | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2020-06-10 |
| 1831756634 | Katelyn Mendez | Case Manager/Care Coordinator | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2019-05-28 |
| 1962971812 | Simple Health Acupuncture & Wellness, Inc. | Chiropractor | 3939 Atlantic Ave, Ste 223, Long Beach, CA 90807 | 2018-11-21 |
| 1083078638 | Herlinda Romero Cano | Rehabilitation Practitioner | 3939 Atlantic Ave, Suite #103, Long Beach, CA 90807-3536 | 2016-04-10 |
| 1275992232 | Sandra Michelle Hardy | Psychologist | 3939 Atlantic Ave, #108, Long Beach, CA 90807-3536 | 2016-02-18 |
| 1063870103 | My True Health Center Care Inc | Specialist | 3939 Atlantic Ave, Suite 100, Long Beach, CA 90807-3536 | 2016-02-03 |
| 1619349008 | Vannary Norith | Counselor | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2015-10-23 |
| 1700262482 | German Arellano | Chiropractor | 3939 Atlantic Ave, Suite 223, Long Beach, CA 90807-3536 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154791 | Eric Houston | Psychologist | 3906 Hathaway Ave, Long Beach, CA 90815-5125 | 2020-05-06 |
| 1003448218 | Julie Goalwin, Ph.d. A Psychological Corporation | Psychologist | 115 Pine Ave Ste 640, Long Beach, CA 90802-4452 | 2020-02-05 |
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194208983 | Tiffany Danielle Sickler | Psychologist | 4201 Long Beach Blvd Ste 409, Long Beach, CA 90807-2022 | 2018-09-08 |
| 1639656036 | Heights Wellness, Inc | Psychologist | 440 Redondo Ave Ste 104, Long Beach, CA 90814-5144 | 2018-07-27 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1699135558 | Margo Frost Watson | Psychologist | 270 San Remo Dr, Long Beach, CA 90803-3620 | 2016-03-04 |
| 1336506997 | Heights Center for Counseling and Wellness, Inc | Psychologist | 440 Redondo Ave Ste 103, Long Beach, CA 90814-5143 | 2016-01-26 |
| 1619373008 | Corina Reyes Lopez | Psychologist | 5901 E 7th St # 6116b, Long Beach, CA 90822-5201 | 2014-11-12 |
| 1841695129 | Sherri Nielsen | Psychologist | 1539 Harbor Ave, Long Beach, CA 90813-1322 | 2014-10-28 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on JENYFFER 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.