TIMOTHY J PETERSEN


Address: 1 Bowdoin Sq, 7th Floor, Office 744, Boston, MA 02114-2927
Phone: 6176430262

TIMOTHY J PETERSEN (NPI# 1295737898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295737898
Entity Type Individual
Full Name TIMOTHY J PETERSEN
Credential PHD
Practice Address 1 Bowdoin Sq
7th Floor, Office 744
Boston
MA 02114-2927
Practice Telephone 6176430262
Practice Fax Number 6177262992
Mailing Telephone 6176430262
Mailing Fax Number 6177262992
Enumeration Date 2005-08-12
Last Update Date 2008-09-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 7731 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0503002 05

Other Providers TIMOTHY PETERSEN

NPI Name Taxonomy Address Enumeration
1891853453 Timothy Dee Petersen Chiropractor 2351 Sunset Blvd, Ste 120, Rocklin, CA 95765 2006-12-05
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
1104070119 Timothy Allen Petersen Psychologist 16055 Ventura Blvd, Suite 920, Encino, CA 91436-2601 2008-11-05

Office Location

Street Address 1 BOWDOIN SQ
7TH FLOOR, OFFICE 744
City BOSTON
State MA
Zip Code 02114-2927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497372759 Jafar Bakhshaie Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, Boston, MA 02114-2927 2020-07-02
1144842436 Benjamin Bellet Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, Boston, MA 02114-2927 2020-05-11
1376164012 Matthew Conor Sullivan Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, Boston, MA 02114-2927 2020-05-05
1558981191 Thomas Martin Crow Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, Boston, MA 02114-2927 2020-04-23
1093351975 Farahdeba Herrawi Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, Boston, MA 02114-2927 2019-11-26
1144861469 Sheena I Dev Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 2019-10-08
1700430311 Katelyn M Gettens Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 2019-07-31
1184277790 Cara Cordeaux Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 2019-07-23
1093291684 Paula A Aduen Psychologist 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 2018-07-17
1063907251 Chelsea E Boccagno Student in an Organized Health Care Education/Training Program 1 Bowdoin Sq, 6th Floor, Boston, MA 02114-2927 2018-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841897345 Sade Callwood Psychologist 185 Devonshire St Ste 800, Boston, MA 02110-1414 2020-10-07
1184239808 Morgan Eleanor Smigielski Psychologist 65 Park Dr Apt 18, Boston, MA 02215-5238 2020-09-10
1679183230 Holly Muller Psychologist 225 Friend St, Boston, MA 02114-1800 2020-08-07
1942826813 David Leo Pendergast Psychologist 36 A St Unit 6c, Boston, MA 02127-1870 2020-06-17
1063035566 Hermine Muskat Psychologist 1313 Washington St Apt 521, Boston, MA 02118-2170 2020-05-19
1750914503 Stephanie Petit Jean Louis Psychologist 80 Fenwood Rd Unit 405, Boston, MA 02115-6138 2020-02-20
1164078754 Alexandria Miller Psychologist 801 Massachusetts Ave # 2067, Boston, MA 02118-2605 2019-08-10
1356824288 Mira Mooreville Nurko Psychologist 71 Rockview St, Boston, MA 02130-2147 2018-09-06
1083195416 Lawrence Pilkington Stifler Psychologist 99 Summer St Fl 12, Boston, MA 02110-1213 2018-08-23
1952896326 Amy R. Pettit Psychologist 11 Deerfield St, Boston, MA 02215-5600 2018-06-27
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Competitor

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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