MR. DAVID PETERSEN (NPI# 1164633632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633632 |
| Entity Type | Individual |
| Full Name | MR. DAVID PETERSEN |
| Other Name | DR. DAVID A. PETERSEN |
| Credential | PH.D. |
| Practice Address |
University of Maryland 1209 Shoemaker Building College Park MD 20742-0001 |
| Mailing Address |
14724 Locustwood Ln Silver Spring MD 20905-6424 |
| Practice Telephone | 3013149792 |
| Mailing Telephone | 3013880650 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
03772 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112951 | David Petersen | Student in an Organized Health Care Education/Training Program | 1648 N Venetian Way, Saratoga Springs, UT 84045-3150 | 2015-05-01 |
| 1821114968 | David Petersen | Physical Therapist | 164 Circle Dr, Cottontown, TN 37048-4619 | 2007-03-21 |
| 1821145590 | David Sigurd Petersen | Urology | 2121 1st Street A, Moline, IL 61265-7745 | 2007-01-04 |
| 1851482202 | David B Petersen | Ophthalmology | 4400 So 700 E, 100, Salt Lake City, UT 84107 | 2006-09-28 |
| 1942250808 | David James Petersen | Podiatrist | 24191 Paseo De Valencia, Suite E, Laguna Woods, CA 92637-3167 | 2006-05-11 |
| 1669454062 | David Petersen | Registered Nurse | 460 State Rd #7, Ste 300, Royal Palm Beach, FL 33411 | 2005-11-19 |
| 1750363149 | David A Petersen | Orthopaedic Surgery | 361 Hospital Rd Ste 527, Newport Beach, CA 92663-3526 | 2005-11-19 |
| 1225497894 | David Petersen | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2016-02-11 |
| 1679764989 | David H Petersen | Social Worker | 6112 S 1550 E, Ogden, UT 84405-5007 | 2007-08-05 |
| 1194848655 | David G Petersen | Dentist | 123 W Francis Ave Ste 104, Spokane, WA 99205-6348 | 2007-04-09 |
| Street Address |
UNIVERSITY OF MARYLAND 1209 SHOEMAKER BUILDING |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20742-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699894311 | Diane Susan Orth | Nurse Practitioner | University of Maryland, University Health Center, Building 140, College Park, MD 20742-0001 | 2007-03-28 |
| 1023310125 | Jessica Susan Perez | Physician Assistant | University of Maryland, University Health Center, Building 140, College Park, MD 20742-4711 | 2010-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417475047 | Theodore Pickett Jr. | Psychologist | 4281 Chapel Lane, College Park, MD 20742 | 2017-09-04 |
| 1811320393 | Andrea Megan Winsor-lovely | Physician Assistant | 140 Campus Drive, College Park, MD 20742 | 2013-08-19 |
| 1336499151 | George Thekkanattu Thomas | Physician Assistant | Building 140 Campus Drive, University Health Center, College Park, MD 20742 | 2012-09-19 |
| 1386944742 | Kimberly Lynn Pfister | Physician Assistant | University Health Center Bldg 140, University of Maryland, College Park, MD 20742 | 2010-11-01 |
| 1144463449 | Dianne Handy | Speech-Language Pathologist | Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Parkl, MD 20742 | 2009-04-16 |
| 1477796902 | Colleen K Worthington | Speech-Language Pathologist | Dept. of Hearing & Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-04-14 |
| 1518100189 | Vivian Diane Sisskin | Speech-Language Pathologist | 0100 Lefrak Hall, Dept. of Hearing & Speech Scienceuniversity of Maryland, College Park, MD 20742 | 2009-04-13 |
| 1235351859 | Judith Ann Chernoff | Internal Medicine | University of Maryland University Health Center, Building 140, Campus Drive, College Park, MD 20742 | 2007-05-03 |
| 1265563001 | Sacared Bodison | Pediatrics | University Health Center - University of Maryland, Building 140, College Park, MD 20742 | 2007-03-07 |
| 1417097403 | Deirdre A Younger | Pharmacist | Bldg 140 Campus Drive, University of Maryland University Health Center, College Park, MD 20742 | 2007-02-07 |
| Find all providers in zip 20742 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578071 | Iyea Brandy | Counselor | 1903 Phoenix Blvd, College Park, GA 30349-5754 | 2020-05-05 |
| 1780221762 | Choosing Joy Health Center | Counselor | 10101 Baltimore Ave Apt 1208, College Park, MD 20740-4220 | 2019-12-09 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1447753157 | Lakiesha Hampton | Counselor | 4098 Robin Cir, College Park, GA 30349-1663 | 2018-03-09 |
| 1346769544 | Queenesha Grace Maedell Herbert | Counselor | 9308 Cherry Hill Rd Apt 615, College Park, MD 20740-1238 | 2017-09-19 |
| 1740734185 | Marlene Joseph | Counselor | 6315 Lamp Post Pl, College Park, GA 30349-8829 | 2016-08-13 |
| 1922465707 | Phillippe Louis | Counselor | 1515 Garden Wood Dr, College Park, GA 30349-6285 | 2016-01-25 |
| 1912385618 | Pamela Hapson | Counselor | 3745 Feldwood Pl, 3, College Park, GA 30349-2923 | 2015-05-13 |
| 1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
| 1629410907 | Darleen Claire Wodzenski | Counselor | 2725 Charlestown Dr, College Park, GA 30337-3909 | 2013-07-26 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 20742 |
Please comment or provide details below to improve the information on MR. DAVID 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.