DR. JEREMY PETERMAN (NPI# 1841683257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841683257 |
| Entity Type | Individual |
| Full Name | DR. JEREMY PETERMAN |
| Practice Address |
200 Tamal Plz Ste 235 Corte Madera CA 94925-1070 |
| Practice Telephone | 4152970815 |
| Mailing Telephone | 4152970815 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 45 San Clemente Dr Ste D210, Corte Madera, CA 949251297 | 4159801130 | |
| 849 Menlo Ave, Menlo Park, CA 940254728 | 4159801130 |
| Street Address |
200 TAMAL PLZ STE 235 |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033464920 | Katherine Peterman | Psychologist | 200 Tamal Plz Ste 235, Corte Madera, CA 94925-1070 | 2012-07-17 |
| 1780216754 | Cynthia Louise Dennis | Counselor | 200 Tamal Plz Ste 235, Corte Madera, CA 94925-1070 | 2020-02-07 |
| 1649823642 | Lillian Eggers | Marriage & Family Therapist | 200 Tamal Plz Ste 235, Corte Madera, CA 94925-1070 | 2019-07-18 |
| 1326558677 | Theresa M Carpinito | Psychologist | 200 Tamal Plz Ste 235, Corte Madera, CA 94925-1128 | 2017-10-01 |
| 1629596986 | Peterman Psychological Services, PC | Psychologist | 200 Tamal Plz Ste 235, Corte Madera, CA 94925-1070 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| 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 |
|---|---|---|---|---|
| 1295083368 | Erin Scollin Skiffer | Psychologist | 21 Tamal Vista Blvd Ste 162, Corte Madera, CA 94925-1146 | 2012-08-21 |
| 1356426852 | Margot Kirschner | Psychologist | 45 San Clemente Dr Ste D210b, Corte Madera, CA 94925-1244 | 2006-10-25 |
| 1093801821 | Heidi Klein Minnick | Psychologist | 21 Tamal Vista Blvd., Suite 218, Corte Madera, CA 94925 | 2006-10-05 |
| 1609234186 | Valerie Crawford | Psychologist | 100 Tamal Plz, Corte Madera, CA 94925-1125 | 2016-01-29 |
| 1952636870 | Brooke A Brown | Psychologist | 100 Tamal Plz, Ste. 195, Corte Madera, CA 94925-1125 | 2009-10-09 |
| 1801027495 | Tania Davidson Psyd A Psychological Corporation | Psychologist | 200 Tamal Plz Ste 130, Corte Madera, CA 94925-1195 | 2009-07-31 |
| 1962633701 | Catherine Elizabeth Main | Psychologist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-28 |
| 1891998449 | Indrojit Singh | Psychologist | 240 Tamal Vista Blvd, Ste #180, Corte Madera, CA 94925 | 2007-06-08 |
| 1992908891 | Tana M Clark | Psychologist | 100 Tamal Plz, Suite 160, Corte Madera, CA 94925-1125 | 2007-06-07 |
| 1275740110 | Nathan Jerome Zilberg | Psychologist | 520 Tamalpais Dr, Suite 100, Corte Madera, CA 94925-1558 | 2007-05-17 |
| Find all providers in CORTE MADERA | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
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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.