What is Timothy Petersen's NPI number?

Timothy Petersen's National Provider Identifier (NPI) is 1104070119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Timothy Petersen's specialty?

Timothy Petersen is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Timothy Petersen located?

Timothy Petersen's practice location on file with NPPES is 16055 Ventura Blvd, Encino, CA 91436-2601.

What is Timothy Petersen's phone number?

The practice phone number listed in the NPPES registry for Timothy Petersen is (818) 377-6330.

Is Timothy Petersen's NPI active?

Yes — Timothy Petersen's NPI (1104070119) is active in the NPPES registry as of the last update on 2008-11-05.

IndividualActive

Timothy Petersen, PSY.D.

NPI 1104070119 · Psychologist · Encino, CA

Timothy Petersen, PSY.D. is a Psychologist provider in Encino, CA (NPI 1104070119).

Provider details

NPI number: 1104070119
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PSY.D.
Sex: Male
Sole proprietor: Yes
License: PSY 19159 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY 19159 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16055 Ventura Blvd

Suite 920

Encino, CA 91436-2601

Phone: (818) 377-6330

Street-level locationGet directions

More CA providers

Mailing address