DR. WILLIAM C PETERSEN (NPI# 1124109400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124109400 |
Entity Type | Individual |
Full Name | DR. WILLIAM C PETERSEN |
Credential | PH.D. |
Practice Address |
5351 Delmar Blvd Saint Louis MO 63112-3146 |
Mailing Address |
7106 Dale Ave Richmond Heights MO 63117-1927 |
Practice Telephone | 3148770685 |
Practice Fax Number | 3148770553 |
Mailing Telephone | 3146476303 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2008-06-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
01531 | MO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124207808 | William Frank Petersen | Pharmacist | 8 Magenta Ln, East Northport, NY 11731-5116 | 2007-10-30 |
1477690105 | William Loftin Petersen | Optometrist | 34179 Golden Lantern St, Suite 201, Dana Point, CA 92629-2800 | 2007-01-31 |
1225050891 | William M Petersen | Family Medicine | 614 Michigan Ave, Walker, MN 56484-1390 | 2006-07-24 |
1003250887 | William Patrick Petersen Jr. | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-23 |
1336276948 | William Marc Petersen | Dentist | 2532 W Francis Ave, Spokane, WA 99205-7012 | 2007-02-28 |
1801933197 | William Carl Petersen Jr. | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-01-30 |
1902912504 | William L Petersen | Ophthalmology | 48 Main St, Massena, NY 13662-1984 | 2006-08-23 |
1881709079 | William A Petersen | Pediatrics | 10 Century Hill Dr, Latham, NY 12110-2162 | 2006-08-20 |
1285674317 | William C Petersen | Anesthesiology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-06-07 |
1770544579 | William G. Petersen | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-31 |
Street Address |
5351 DELMAR BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63112-3146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073567491 | State of Missouri | Social Worker | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-05-20 |
1679981302 | Timothy Wilson | Psychologist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2014-07-25 |
1093122152 | Melanie Nichols | Psychologist | 5351 Delmar Blvd, Metropolitan St Louis Psychiatric Center, Saint Louis, MO 63112-3146 | 2014-07-21 |
1861727703 | Leanne Kathleen Buttice | Social Worker | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2009-10-09 |
1760646137 | Bridget Ann Graham-royer | Psychologist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2008-07-15 |
1730365750 | Tracey Ann Williams | Occupational Therapist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2008-01-21 |
1790986115 | Sundeep Jayaprabhu | Psychiatry & Neurology | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-31 |
1376752667 | Karen Renee Struckhoff | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-22 |
1548479249 | Armon R Crawford | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-21 |
1154530822 | Meike Leigh Newell | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
Find all providers in zip 63112 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063972081 | Marianela Dornhecker | Psychologist | 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 | 2019-03-25 |
1518483825 | Consuelo Maturana | Psychologist | 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 | 2017-08-17 |
1922520394 | Ivorie D Chambers | Psychologist | 10439 Gardo Court, Saint Louis, MO 63137 | 2017-07-07 |
1194140756 | Emergence Psychological Services | Psychologist | 1131 Thornwood Dr, Saint Louis, MO 63124-1227 | 2014-02-19 |
1952600983 | Chad John Keller | Psychologist | 7700 Clayton Rd Ste 103, Saint Louis, MO 63117-1345 | 2011-03-16 |
1356550289 | Indvidualized Therapy & Care, P.C. | Psychologist | 5858 White Pine Dr, Saint Louis, MO 63129-2954 | 2007-05-21 |
1942358049 | Sujatha Ramesh | Psychologist | 7750 Clayton Rd Ste 204, Saint Louis, MO 63117-1342 | 2007-01-08 |
1417493677 | Pallavi Mishra Nishith | Psychologist | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2017-01-12 |
1164971396 | April Reupke | Psychologist | 12837 Flushing Meadows Dr, Saint Louis, MO 63131-1824 | 2016-09-29 |
1609322510 | James Malen | Psychologist | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2016-08-30 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63112 |
Please comment or provide details below to improve the information on DR. WILLIAM C PETERSEN.
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.