DR. JOSEPH KEITH PETERSON (NPI# 1114074242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114074242 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH KEITH PETERSON |
| Credential | PH.D. |
| Practice Address |
621 Pacific Ave 100 Tacoma WA 98402-4600 |
| Practice Telephone | 2535722588 |
| Practice Fax Number | 2535723356 |
| Mailing Telephone | 2535722588 |
| Mailing Fax Number | 2535723356 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1232 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043422926 | Joseph Dick Peterson | Chiropractor | 1325 W 13th St, Davenport, IA 52804-3739 | 2007-05-04 |
| 1679561070 | Joseph Roger Peterson | Dermatology | 1414 E Blanco Rd, Suite 9, Boerne, TX 78006-1834 | 2005-10-10 |
| 1104438894 | Joseph Lloyd Peterson | Counselor | 1600 S Lane St, Seattle, WA 98144-2810 | 2020-08-23 |
| 1467800276 | Joseph Peterson | Otolaryngology | 200 Hawkins Dr, Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2016-06-02 |
| 1760786180 | Joseph Peterson | Marriage & Family Therapist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2010-12-28 |
| 1770769820 | Joseph Peterson | Obstetrics & Gynecology | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2008-01-18 |
| 1669671657 | Joseph David Peterson | Emergency Medicine | 300 E Warwick Dr, Alma, MI 48801-1096 | 2007-07-11 |
| 1972705325 | Joseph Steven Peterson | Emergency Medicine | 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 | 2007-06-05 |
| 1942397054 | Joseph Peterson | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| Street Address |
621 PACIFIC AVE 100 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823398 | Lisa M Hardebeck | Clinical Neuropsychologist | 621 Pacific Ave, Suite 109, Tacoma, WA 98402-4600 | 2005-12-29 |
| 1164883617 | The Hoarding Project | Community/Behavioral Health | 621 Pacific Ave, Suite 300, Tacoma, WA 98402-4600 | 2016-03-11 |
| 1245657360 | Emily Vonne Zimmerman | Psychologist | 621 Pacific Ave, Suite 109, Tacoma, WA 98402-4600 | 2014-03-26 |
| 1093146896 | Nancy Hewitt | Counselor | 621 Pacific Ave, Suite 8, Tacoma, WA 98402-4600 | 2013-12-03 |
| 1124258751 | Richard Daren Mcgraw | Massage Therapist | 621 Pacific Ave, Tacoma, WA 98402 | 2009-07-16 |
| 1902032725 | Jill B Nealey-moore | Psychologist | 621 Pacific Ave, Ste 310, Tacoma, WA 98402-4600 | 2009-06-08 |
| 1831324425 | Soundview Health Associates, Pllc | Psychologist | 621 Pacific Ave, Suite 310, Tacoma, WA 98402-4600 | 2009-05-26 |
| 1114152709 | David R Moore | Psychologist | 621 Pacific Ave, Suite 310, Tacoma, WA 98402-4600 | 2009-05-26 |
| 1639385578 | Jennifer Maria Sampson-susag | Marriage & Family Therapist | 621 Pacific Ave, Suite 300, Tacoma, WA 98402-4600 | 2007-05-15 |
| 1811062284 | John X Allemand | Social Worker | 621 Pacific Ave, Suite 315, Tacoma, WA 98402-4600 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1780199125 | Christopher Edwards | Psychologist | 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 | 2017-12-07 |
| 1184134314 | Colleen Rustad | Psychologist | 3224 6th Ave, Tacoma, WA 98406-5902 | 2017-10-02 |
| 1174983316 | Troy Allen Robison | Psychologist | 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 | 2016-03-01 |
| 1447618053 | Llc Courage 2b | Psychologist | 1764 N James St, Tacoma, WA 98406-1508 | 2016-02-10 |
| 1326415472 | Sean Morrison | Psychologist | 708 Broadway Ste 170, Tacoma, WA 98402-3778 | 2015-08-25 |
| 1386981850 | Larry D Pruitt | Psychologist | 9933 W Hayes St Madigan Anx, Joint Base Lewis Mcchord, Tacoma, WA 98431-0001 | 2013-01-03 |
| 1740541945 | Quyen Bich Nguyen | Psychologist | 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 | 2012-06-04 |
| 1518245679 | Christmas Covell | Psychologist | 2105 N 30th St, Tacoma, WA 98403-3318 | 2011-07-22 |
| 1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on DR. JOSEPH KEITH PETERSON.
| 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.