DR. JON DOUGLAS PETERSON (NPI# 1952524324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952524324 |
| Entity Type | Individual |
| Full Name | DR. JON DOUGLAS PETERSON |
| Credential | M.D. |
| Practice Address |
1035 San Pablo Ave Ste 5 Albany CA 94706-2276 |
| Mailing Address |
718 Evelyn Ave Albany CA 94706-1707 |
| Practice Telephone | 9254639115 |
| Practice Fax Number | 9254638185 |
| Mailing Telephone | 9254639115 |
| Mailing Fax Number | 9254638185 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
00C36496 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265593560 | Jon B Peterson | Chiropractor | 2611 Clearwater Rd, Saint Cloud, MN 56301-5953 | 2006-12-12 |
| 1669553723 | Jon T Peterson | Family Medicine | 2960-a Limited Lane Nw, Olympia, WA 98502 | 2006-10-17 |
| 1285726380 | Jon E Peterson | Dentist | 4076 3rd Ave # Su.201, San Diego, CA 92103-2129 | 2006-09-28 |
| 1285112482 | Jon Peterson | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2018-07-31 |
| 1063645893 | Jon Tor Peterson | Pharmacist | 9983 Wadsworth Pkwy, Westminster, CO 80021-4249 | 2009-08-27 |
| 1407870975 | Jon T Peterson | Emergency Medicine | 2871 Greensboro Rd, Martinsville, VA 24112-8108 | 2006-07-27 |
| 1972549236 | Jon W Peterson | Psychologist | 25401 Cabot Rd, Suite 213, Laguna Hills, CA 92653-5524 | 2006-06-22 |
| 1043250640 | Jon Lee Peterson | Family Medicine | 0310c County Road 14, Del Norte, CO 81132-8719 | 2006-06-08 |
| 1508832676 | Jon Deep Peterson | Podiatrist | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-27 |
| Street Address |
1035 SAN PABLO AVE STE 5 |
| City | ALBANY |
| State | CA |
| Zip Code | 94706-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1881250181 | Joan Marie Bernier | Speech-Language Pathologist | 622 Talbot Ave, Albany, CA 94706 | 2019-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1316480130 | Junghi Lee | Acupuncturist | 411 Cornell Avenue Apt12, Albany, CA 94706 | 2016-11-28 |
| 1356702294 | Albany Physical Therapy A Professional Corporation | Physical Therapist | 948 San Pablo Avenue, Albany, CA 94706 | 2016-03-18 |
| 1437430592 | Olga Olina Rule | Marriage & Family Therapist | 828 San Pablo Ave., Ste 216 B, Albany, CA 94706 | 2011-09-02 |
| 1316246820 | Christine Gocke | Acupuncturist | 1285 Gilman St, Berkeley, CA 94706 | 2011-03-23 |
| 1750699393 | Barbara Helen Howell | Marriage & Family Therapist | 828 San Pablo Ave Ste 120a, Albany, CA 94706 | 2010-09-16 |
| 1225349954 | Shahin Tabibzadeh | Social Worker | 555 Pierce Street #704, Albany, CA 94706 | 2010-06-28 |
| 1215269089 | Ginny Howe | Chiropractor | 1500 Oak View Avenue, Kensington, CA 94706 | 2010-02-04 |
| Find all providers in zip 94706 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826856 | Lakisha Denise Hunt | Psychiatry & Neurology | 1316 Montego Ct, Albany, GA 31705-8015 | 2020-03-21 |
| 1154957728 | Germane & Wise Mental Health Services Consulting LLC | Psychiatry & Neurology | 321 1st Ave Ne Ste 3c, Albany, OR 97321-2794 | 2020-03-16 |
| 1952896987 | Peter Frederick Andrus | Psychiatry & Neurology | 6211 Guildford House Apt 5, Albany, NY 12203-4511 | 2018-06-22 |
| 1407366057 | Dr Kevin George, Incorporated | Psychiatry & Neurology | 1510 Central Ave Ste 375, Albany, NY 12205-5094 | 2017-10-10 |
| 1558882530 | Patton Medical of New York PC | Psychiatry & Neurology | 344 Torquay Blvd, Albany, NY 12203-4960 | 2017-06-29 |
| 1689068967 | Serenity Mccarthy-arnone | Psychiatry & Neurology | 113 Holland Ave # 116a, Albany, NY 12208-3410 | 2015-03-24 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1831333251 | Jill Patton | Psychiatry & Neurology | 1971 Western Ave # 257, Albany, NY 12203-5066 | 2009-04-29 |
| 1922260371 | Myo Win Kyaw | Psychiatry & Neurology | 143 Lincoln Ave Fl 1, Albany, NY 12206-1402 | 2008-06-26 |
| 1992970289 | Smitha Battula | Psychiatry & Neurology | 2734 Ledo Road, Suite 12, Albany, GA 31707 | 2008-04-28 |
| Find all providers in ALBANY | ||||
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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.