DR. CAROLYN ANN PETERSON (NPI# 1548442874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548442874 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN ANN PETERSON |
| Credential | PH.D. |
| Practice Address |
3215 Fortune Ct Auburn CA 95602-9245 |
| Practice Telephone | 5306139217 |
| Practice Fax Number | 5308892420 |
| Mailing Telephone | 5306139217 |
| Mailing Fax Number | 5308892420 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY16440 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569696 | Carolyn N. Peterson | Dietitian, Registered | 1615 Waybridge Ln, Apt 1e, Charlotte, NC 28210-5769 | 2016-10-19 |
| 1215332846 | Carolyn Peterson | Speech-Language Pathologist | 239 Grannys Garden Rd, Libby, MT 59923-9218 | 2014-10-24 |
| 1922340157 | Carolyn Peterson | Counselor | 14623 Ne North Woodinville Way, Suite #106, Woodinville, WA 98072-8475 | 2013-03-26 |
| 1750792669 | Carolyn M Peterson | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, OR 97224-7258 | 2014-05-13 |
| 1033406509 | Carolyn Peterson | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2011-07-06 |
| 1770814485 | Carolyn S Peterson | Social Worker | 2092 S Custer Rd, Monroe, MI 48161-1831 | 2010-01-20 |
| 1285802017 | Carolyn Peterson | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-14 |
| 1477535334 | Carolyn G Peterson | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-16 |
| Street Address |
3215 FORTUNE CT |
| City | AUBURN |
| State | CA |
| Zip Code | 95602-9245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
| 1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
| 1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
| 1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
| 1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
| 1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
| Find all providers in zip 95602 | ||||
| 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 |
|---|---|---|---|---|
| 1023636925 | Barrie J Roer | Psychologist | 100 Harrison Ave Unit 54, Auburn, CA 95604-0804 | 2020-07-08 |
| 1679037733 | Karen Joelle Kobliska | Psychologist | 11064 Palomino Ct, Auburn, CA 95603-5862 | 2019-01-23 |
| 1083013734 | Beatrice Charmaine Mosier | Psychologist | 1983 Stephanie Ct, Auburn, AL 36830-1809 | 2014-08-19 |
| 1063821494 | Nicole Linen | Psychologist | 311 N. College St, Auburn, AL 36830 | 2014-08-11 |
| 1073875076 | Jordan A. Hamilton,phd, Inc | Psychologist | 128 East St, Auburn, CA 95603-5119 | 2012-06-14 |
| 1497057400 | Michelle Leigh King Deramus | Psychologist | 861 N Dean Rd, Suite D, Auburn, AL 36830-9420 | 2010-11-23 |
| 1659541142 | Kathleen Marie Randles | Psychologist | 24970 Oro Valley Rd, Auburn, CA 95602-8203 | 2008-03-11 |
| 1346429933 | A.l. Tarver, Psychological Consultants, LLC | Psychologist | 617 Old Stage Rd, Auburn, AL 36830-4958 | 2007-10-31 |
| 1063551349 | Elizabeth S Meid | Psychologist | 10 Minot Av, Auburn, ME 04210-4902 | 2007-02-05 |
| 1932246972 | James P. Spink | Psychologist | 117 W 9th St, Auburn, IN 46706-2224 | 2007-01-31 |
| Find all providers in AUBURN | ||||
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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.