DR. KEVIN HOWARD PETERSON


Address: 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024
Phone: 3017953360

DR. KEVIN HOWARD PETERSON (NPI# 1053527895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053527895
Entity Type Individual
Full Name DR. KEVIN HOWARD PETERSON
Credential ED.D.
Practice Address 31 Baltimore St
Suite 103
Cumberland
MD 21502-3024
Mailing Address 12517 Ellis Rd Ne
Cumberland
MD 21502-6876
Practice Telephone 3017953360
Practice Fax Number 3017593360
Mailing Telephone 3016874389
Mailing Fax Number 3017593360
Enumeration Date 2007-05-16
Last Update Date 2009-05-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 02746 MD Behavioral Health & Social Service Providers

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1558327064 Kevin P Peterson Family Medicine 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 2006-04-24
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Office Location

Street Address 31 BALTIMORE ST
SUITE 103
City CUMBERLAND
State MD
Zip Code 21502-3024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508048554 Kevin H. Peterson Psychologist 31 Baltimore St, Suite 103, Cumberland, MD 21502-3072 2007-12-01
1720274210 Siddappa None Nagabhushan Orthopaedic Surgery 31 Baltimore St, Suit 111, Cumberland, MD 21502-3072 2007-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141592 Upmc Western Maryland Corporation Clinic/Center 10700 Leslie Lane, Cumberland, MD 21502 2020-07-13
1669934212 Ultimate Hearing Solutions Vi, LLC Durable Medical Equipment & Medical Supplies 701 Park Street, Queen City Centre, Cumberland, MD 21502 2019-04-03
1114497070 Dianne Liller Speech-Language Pathologist 200 Massachusetts Ave, Cumberland, MD 21502 2018-12-04
1386111409 Rebecca Anne Stewart Counselor 217 Glenn Street, Suite 401, Cumberland, MD 21502 2018-10-26
1396222998 Crystal Lynne Walls Nurse Practitioner Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 2018-07-26
1841796554 Joan Kathleen Hoban Speech-Language Pathologist Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 2018-04-02
1760984447 Christine T. Haines Social Worker 907 Seton Drive, Cumberland, MD 21502 2018-03-08
1033632328 Nicole Mabury Counselor 12501 Willowbrook Road, Cumberland, MD 21502 2017-07-19
1073042479 The Lions Center for Rehabilitation and Extended Care, Inc. Skilled Nursing Facility 901 Seton Drive, Cumberland, MD 21502 2017-06-08
1912446816 Marina Hurst Counselor 10102 County Club Road Se, Cumberland, MD 21502 2017-02-13
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003301987 Kevin Farrell Gaw Psychologist 25 Tingley Dr, Cumberland, RI 02864-4216 2018-06-25
1487197208 Lewis Center Psychologist 111 S George St, Suite 15, Cumberland, MD 21502-3087 2016-11-28
1740535491 Helene Charlotte Robbins Psychologist 722 Washington St, Cumberland, MD 21502-2707 2012-07-18
1326267089 Magda Pedraza Psychologist 15 Houtman Ave, Cumberland, RI 02864-2110 2007-04-24
1588791222 Giovanna Hurley Psychologist 13 Shady Lane Run, Cumberland, ME 04021 2007-02-28
1144361395 Bruce Jungerberg Psychologist 1895 Abby Rd, Cumberland, WI 54829-8706 2007-02-09
1235233321 John Gerard Zealand Psychologist 152 Bedford St, Cumberland, MD 21502-2304 2006-09-11
1255443784 Lesley B Landau Psychologist 1464 Diamond Hill Rd, Cumberland, RI 02864-5540 2006-08-31
1790737195 Debra Neff Schaaf Psychologist 7 Washington St, Cumberland, MD 21502-2974 2006-05-16
1871909317 James E. Miller, Ph.d., Psychologist, PC Psychologist 153 Baltimore St, Third Floor; Suite 1, Cumberland, MD 21502-2301 2014-07-04
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Competitor

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City CUMBERLAND
Zip Code 21502

Improve Information

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Dataset Information

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.

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