DR. DOUGLAS ALLEN PETERSON (NPI# 1932399938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932399938 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS ALLEN PETERSON |
| Credential | PH.D. |
| Practice Address |
16935 W Bernardo Dr 238 San Diego CA 92127-1634 |
| Mailing Address |
2632 Worden St. 189 San Diego CA 92110-5841 |
| Practice Telephone | 6192238511 |
| Mailing Telephone | 6192238511 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PSY 20082 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20082 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY 20082 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972071777 | Douglas Peterson | Acupuncturist | 333 E 46th St Apt 1j, New York, NY 10017-7426 | 2018-11-09 |
| 1952520710 | Douglas Don Peterson | Dentist | 2411 10th Ave N, Lake Worth, FL 33461-3128 | 2007-04-24 |
| 1770688756 | Douglas Bruce Peterson | Dentist | 8470 Us Hwy 2, Iron River, WI 54847-0400 | 2006-09-14 |
| 1437267440 | Douglas B Peterson | Internal Medicine | 1512 W 4th St, Marshfield, WI 54449-2509 | 2006-08-29 |
| 1710962832 | Douglas Peterson | Emergency Medicine | 1630 Anderson Ave, Buffalo, MN 55313-2945 | 2005-12-13 |
| 1982688388 | Douglas George Peterson | Chiropractor | 3030 Sw Moody Ave, Ste 102, Portland, OR 97201-4867 | 2005-11-30 |
| 1609083856 | Douglas A Peterson | Dentist | 9 Middletown Lincroft Rd, Lincroft, NJ 07738-1511 | 2007-05-17 |
| 1174739288 | Douglas Charles Peterson | Pediatrics | 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758-7947 | 2007-05-15 |
| 1023142585 | Douglas Jed Peterson | Chiropractor | 650 N State St, Suite #1, Shelley, ID 83274-5167 | 2007-03-15 |
| 1659408649 | Douglas G Peterson | Chiropractor | 1765 Taft Ave, Oshkosh, WI 54902-3220 | 2007-02-27 |
| Street Address |
16935 W BERNARDO DR 238 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238946 | Jeri Ann Karlsberg | Marriage & Family Therapist | 16935 W Bernardo Dr, Suite 108, San Diego, CA 92127-1634 | 2005-10-10 |
| 1720366842 | Physiotherapy Associates, Inc. | Clinic/Center | 16935 W Bernardo Dr, Suite 180, San Diego, CA 92127-1621 | 2011-07-22 |
| 1528346772 | Andrea S Knox | Marriage & Family Therapist | 16935 W Bernardo Dr, Suite 208, San Diego, CA 92127-1634 | 2011-07-21 |
| 1649578709 | Maria Teresa Genter | Marriage & Family Therapist | 16935 W Bernardo Dr, 110, San Diego, CA 92127-1634 | 2011-03-14 |
| 1770728362 | Leslie Westlund Craig | Psychiatry & Neurology | 16935 W Bernardo Dr, Suite # 107, San Diego, CA 92127-1634 | 2008-12-10 |
| 1104076728 | Micol Gonella | Psychologist | 16935 W Bernardo Dr, Suite 208, San Diego, CA 92127-1634 | 2008-09-19 |
| 1396950903 | Gary W. Lawson | Psychologist | 16935 W Bernardo Dr, Suite 102, San Diego, CA 92127-1634 | 2007-05-14 |
| 1093920530 | Jacqueline Newcomb | Psychologist | 16935 W Bernardo Dr, Suite 237, San Diego, CA 92127-1634 | 2007-05-10 |
| 1548474729 | Joan Salat | Social Worker | 16935 W Bernardo Dr, Suite 237, San Diego, CA 92127-1634 | 2007-05-09 |
| 1952437204 | Harold F. Brown | Psychologist | 16935 W Bernardo Dr, Suite 110, San Diego, CA 92127-1634 | 2007-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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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.