JUDITH MARIE PETERS (NPI# 1205061488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205061488 |
| Entity Type | Individual |
| Full Name | JUDITH MARIE PETERS |
| Credential | LP |
| Practice Address |
157 Roosevelt Rd Suite 300 Saint Cloud MN 56301-5478 |
| Mailing Address |
Po Box 2390 Saint Cloud MN 56302-2390 |
| Practice Telephone | 3202403324 |
| Practice Fax Number | 3202403339 |
| Mailing Telephone | 3206501544 |
| Mailing Fax Number | 3206501528 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3425 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 470024400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244576 | Judith Ann Peters | Counselor | 15420 Smoland Ln Ne, Bainbridge Island, WA 98110-1040 | 2018-08-09 |
| 1043280464 | Judith L Peters | Specialist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2006-01-26 |
| Street Address |
157 ROOSEVELT RD SUITE 300 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-5478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043348535 | Catholic Charities of The Diocese of St. Cloud | Home Delivered Meals | 157 Roosevelt Rd, Suite 200, Saint Cloud, MN 56301-5478 | 2007-02-28 |
| 1063614568 | Dale Robert Anderson | Psychiatry & Neurology | 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 | 2007-06-05 |
| 1427181437 | Janelle Hinchley | Social Worker | 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 | 2007-03-13 |
| 1003944620 | Catholic Charities of The Diocese of St. Cloud | Clinic/Center | 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| 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 |
|---|---|---|---|---|
| 1528536158 | Joy Marie Sales | Psychologist | 1900 Centracare Cir Ste 2475, Saint Cloud, MN 56303-5000 | 2018-11-13 |
| 1346795077 | Elizabeth Flynn, Pllc | Psychologist | 3400 1st St N Ste 300, Saint Cloud, MN 56303-1927 | 2016-08-23 |
| 1861673030 | John R Krueger | Psychologist | 157 Roosevelt Rd Ste 300, Saint Cloud, MN 56301-5481 | 2007-11-16 |
| 1376753418 | Kristine Marie Wainright-tadych | Psychologist | 1506 33rd Ave N, Saint Cloud, MN 56303-1525 | 2007-05-23 |
| 1982767554 | Susan Hill | Psychologist | 1712 7th Ave S, Saint Cloud, MN 56301-5711 | 2006-12-18 |
| 1134219165 | Anne Cecile Leonard | Psychologist | 22 Wilson Ave Ne, Suite Number 110, Saint Cloud, MN 56304-0440 | 2006-10-13 |
| 1902888555 | Lori Ann Nelson | Psychologist | 600 25th Ave S, Ste 109, Saint Cloud, MN 56301-4841 | 2005-11-18 |
| 1730622192 | Kristin Jurek | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-12-02 |
| 1902265721 | Nicole Hofman Wilke | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-02-22 |
| 1568869667 | Rachel Petersen | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2014-12-04 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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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.