PETERSON PSYCHOLOGICAL SERVICES, LLC (NPI# 1982107959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982107959 |
| Entity Type | Organization |
| Organization Name | PETERSON PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
125 Alpine Cir Columbia SC 29223-6385 |
| Practice Telephone | 8037793548 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | DR. MICHELLE PETERSON (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8037793548 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1271 | SC | Behavioral Health & Social Service Providers |
| Street Address |
125 ALPINE CIR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659345379 | Jeffery Hall Brandenburg | Psychiatry & Neurology | 125 Alpine Cir, Columbia, SC 29223-6385 | 2006-02-17 |
| 1124686407 | Mfct, LLC | Counselor | 125 Alpine Cir, Columbia, SC 29223-6385 | 2019-06-03 |
| 1366955403 | Jacqueline Hanks | Counselor | 125 Alpine Cir, Columbia, SC 29223-6385 | 2017-11-12 |
| 1659800167 | Southeastern Success Center, LLC | Counselor | 125 Alpine Cir, Columbia, SC 29223-6385 | 2017-06-08 |
| 1841685575 | Gaskins Psychiatry, LLC | Psychiatry & Neurology | 125 Alpine Cir, Columbia, SC 29223-6385 | 2015-03-31 |
| 1770989485 | Melissa H Kannaday Md LLC | Psychiatry & Neurology | 125 Alpine Cir, Columbia, SC 29223-6385 | 2014-11-06 |
| 1760808570 | Mary Myers Bridges | Counselor | 125 Alpine Cir, Columbia, SC 29223-6385 | 2014-03-17 |
| 1194091850 | Cardinal Psychiatric Consultants LLC | Psychiatry & Neurology | 125 Alpine Cir, Columbia, SC 29223-6385 | 2012-03-28 |
| 1982975439 | Onedaymama LLC | Counselor | 125 Alpine Cir, Columbia, SC 29223-6385 | 2012-01-14 |
| 1417242371 | Burch Psychiatric Services, LLC | Clinic/Center | 125 Alpine Cir, Columbia, SC 29223-6385 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| Find all providers in COLUMBIA | ||||
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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.