DR. TIMOTHY ALLEN PETERSEN (NPI# 1104070119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104070119 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ALLEN PETERSEN |
| Credential | PSY.D. |
| Practice Address |
16055 Ventura Blvd Suite 920 Encino CA 91436-2601 |
| Practice Telephone | 8183776330 |
| Mailing Telephone | 8183776330 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 19159 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891853453 | Timothy Dee Petersen | Chiropractor | 2351 Sunset Blvd, Ste 120, Rocklin, CA 95765 | 2006-12-05 |
| 1295737898 | Timothy J Petersen | Psychologist | 1 Bowdoin Sq, 7th Floor, Office 744, Boston, MA 02114-2927 | 2005-08-12 |
| 1275030892 | Timothy Lou Petersen | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-04-10 |
| 1609158369 | Timothy Daniel Petersen | Pharmacist | 2045 S I 75 Business Loop, Grayling, MI 49738-2039 | 2011-09-19 |
| 1639468887 | Timothy C Petersen | Internal Medicine | 100 Constitution Dr, Ste 217, Va Beach, VA 23462-6799 | 2011-03-28 |
| Street Address |
16055 VENTURA BLVD SUITE 920 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852544 | Mark F Stein | Dentist | 16055 Ventura Blvd, Ste 925, Encino, CA 91436-2611 | 2005-06-23 |
| 1487206140 | Cynthia Piton Silverman | Marriage & Family Therapist | 16055 Ventura Blvd, Suite 1124, Encino, CA 91436 | 2019-07-12 |
| 1922549724 | Isaac Kahen Kashani Dds A Professional Dental Corporation | Dentist | 16055 Ventura Blvd, #510, Encino, CA 91436-2601 | 2017-03-13 |
| 1063964542 | Thema Bryant-davis | Psychologist | 16055 Ventura Blvd, 1111, Encino, CA 91436-2601 | 2016-10-31 |
| 1851845572 | Tanya Rishwain, Lcsw | Community/Behavioral Health | 16055 Ventura Blvd, Suite 1025, Encino, CA 91436-2601 | 2016-08-10 |
| 1023465317 | Sati Welllness, LLC | Clinic/Center | 16055 Ventura Blvd, Suite 712, Encino, CA 91436-2601 | 2016-05-17 |
| 1790130300 | Judith Victor | Counselor | 16055 Ventura Blvd, Suite 724, Encino, CA 91436-2601 | 2016-05-02 |
| 1467811539 | Lynne Rafool Bidwell | Marriage & Family Therapist | 16055 Ventura Blvd, Suite 810, Encino, CA 91436-2601 | 2016-02-18 |
| 1538534763 | Encino Dental Excellence | Dentist | 16055 Ventura Blvd, Suite #400, Encino, CA 91436-2601 | 2015-12-14 |
| 1578938262 | Gabriel Rosenthal Dds, Inc | Dentist | 16055 Ventura Blvd, Suite 1001, Encino, CA 91436-2601 | 2015-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
|---|---|---|---|---|
| 1619441078 | Kenneth Scott, Psy.d., A Psychological Corporation | Psychologist | 16311 Ventura Blvd Ste 808, Encino, CA 91436-2124 | 2019-01-17 |
| 1083192868 | Rebecca Michelle Branda | Psychologist | 16530 Ventura Blvd Ste 306, Encino, CA 91436-4595 | 2018-08-02 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1285007948 | Jennifer Kates Ramlo, Ph.d | Psychologist | 15720 Ventura Blvd Ste 225, Encino, CA 91436-2975 | 2015-11-03 |
| 1225430838 | Matin Ashooriyoun | Psychologist | 16661 Ventura Blvd Ste 400-f, Encino, CA 91436-1914 | 2014-09-25 |
| 1912255258 | Stein Psychological Associates, Inc. | Psychologist | 16001 Ventura Boulevard, Suite 125, Encino, CA 91436 | 2012-08-16 |
| 1356631352 | Saghian Psychological Services, A Prof. Psy. Corp. | Psychologist | 16055 Ventura Blvd Ste 715, Encino, CA 91436-2610 | 2011-04-11 |
| 1104074160 | Jacob Gisis | Psychologist | 16055 Ventura Blvd Ste 724, Encino, CA 91436-2610 | 2008-09-03 |
| 1881896249 | Nancy Lee Tither | Psychologist | 6345 Balboa Blvd Bldg 1, Suite #215, Encino, CA 91316-1519 | 2007-06-05 |
| 1275650095 | William Kaiser | Psychologist | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2007-03-25 |
| Find all providers in ENCINO | ||||
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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.