DR. ANGELA PETERSEN (NPI# 1831547496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831547496 |
| Entity Type | Individual |
| Full Name | DR. ANGELA PETERSEN |
| Credential | PH.D. |
| Practice Address |
8950 Villa La Jolla Dr Ste B109 La Jolla CA 92037-1704 |
| Practice Telephone | 8089277049 |
| Mailing Telephone | 8089277049 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2310 Parmenter St, Apt. #320, Middleton, WI 535622608 | 8089277049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225350770 | Angela Kayann Petersen | Physical Therapist | 1111 6th Ave, Suite B3, Des Moines, IA 50314-2613 | 2010-02-25 |
| 1689816944 | Angela A Petersen | Physical Therapist | 435 S 13th St, Ely, NV 89301-2215 | 2009-04-01 |
| 1346210945 | Angela Renee Petersen | Physical Therapist | 2725 S 144th St, Omaha, NE 68144-5243 | 2006-01-25 |
| Street Address |
8950 VILLA LA JOLLA DR STE B109 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1700496080 | Jeffry Clary Warren | Psychologist | 1224 Prospect St Ste 100, La Jolla, CA 92037-3609 | 2020-08-03 |
| 1730711433 | Maria Alejandra Infante | Psychologist | Ucsd 9500 Gilman Drive Mc 0405, La Jolla, CA 92093-0001 | 2020-02-10 |
| 1669015855 | Jodi Tompkins | Psychologist | 836 Prospect St Ste 101, La Jolla, CA 92037-4213 | 2019-10-21 |
| 1093161648 | Barbara Rosen | Psychologist | 654 Bonair St, La Jolla, CA 92037-6114 | 2016-05-12 |
| 1023474434 | Morton Shaevitz | Psychologist | 2671 Greentree Ln, La Jolla, CA 92037-1148 | 2016-01-14 |
| 1194083972 | Reina Juarez | Psychologist | University of California San Diego 0304, 9500 Gilman Dr., La Jolla, CA 92093-0304 | 2012-04-30 |
| 1932486529 | Felise Beth Levine | Psychologist | 3252 Holiday Ct Ste 205, La Jolla, CA 92037-1808 | 2011-11-09 |
| 1578878641 | Edith Eva Eger | Psychologist | 7231 Rue Michael, La Jolla, CA 92037-3913 | 2010-08-13 |
| 1477883585 | Michael Milad | Psychologist | 935 Genter St Unit 408, La Jolla, CA 92037-5520 | 2010-01-12 |
| 1982938825 | Ruth P Newton | Psychologist | 3252 Holiday Ct Ste 109, La Jolla, CA 92037-1807 | 2009-09-24 |
| Find all providers in LA JOLLA | ||||
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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.