IndividualActive
Kevin Petersen, PSY.D.
NPI 1356676290 · Psychologist · Columbia, SC
Kevin Petersen, PSY.D. is a Psychologist provider in Columbia, SC (NPI 1356676290).
Provider details
- NPI number
- 1356676290
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 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
83% 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
6439 Garners Ferry Road
Wjbd Va Medical Center
Columbia, SC 29209
Phone: (803) 776-4000
Street-level locationGet directions
Mailing address
115 Red Coat Ln
Columbia, SC 29223-2827
Registry dates
- Enumerated
- 2009-10-09
- Last updated
- 2009-10-09
Frequently asked questions
- What is Kevin Petersen's NPI number?
- Kevin Petersen's National Provider Identifier (NPI) is 1356676290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Petersen's specialty?
- Kevin Petersen is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kevin Petersen located?
- Kevin Petersen's practice location on file with NPPES is 6439 Garners Ferry Road, Columbia, SC 29209.
- What is Kevin Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kevin Petersen is (803) 776-4000.
- Is Kevin Petersen's NPI active?
- Yes — Kevin Petersen's NPI (1356676290) is active in the NPPES registry as of the last update on 2009-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.