IndividualActive
Brian Petersen, PSY.D.
NPI 1215169818 · Clinical Psychologist · New York, NY
Brian Petersen, PSY.D. is a Clinical Psychologist provider in New York, NY (NPI 1215169818).
Provider details
- NPI number
- 1215169818
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- # 016797-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
412 6th Ave
#610
New York, NY 10011-8409
Phone: (917) 621-5822
Fax: (212) 346-1530
Approximate (ZIP-level) locationGet directions
Mailing address
156 William St
New York, NY 10038-2609
Registry dates
- Enumerated
- 2009-08-14
- Last updated
- 2009-08-14
Frequently asked questions
- What is Brian Petersen's NPI number?
- Brian Petersen's National Provider Identifier (NPI) is 1215169818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Petersen's specialty?
- Brian Petersen is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Brian Petersen located?
- Brian Petersen's practice location on file with NPPES is 412 6th Ave, New York, NY 10011-8409.
- What is Brian Petersen's phone number?
- The practice phone number listed in the NPPES registry for Brian Petersen is (917) 621-5822.
- Is Brian Petersen's NPI active?
- Yes — Brian Petersen's NPI (1215169818) is active in the NPPES registry as of the last update on 2009-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.