Dr. Kirsten E. Petersen Psychological Services, PLLC
NPI 1366067258 · Clinical Psychologist · Wantagh, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr. Kirsten E. Petersen Psychological Services, PLLC is a Clinical Psychologist organization in Wantagh, NY (NPI 1366067258).
Provider details
- NPI number
- 1366067258
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kirsten Petersen, Owner(917) 991-1042
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Kirsten E Petersen, PHD
- Doing business as
- Kirsten E Petersen, PHD
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Frequently asked questions
- What is Dr. Kirsten E. Petersen Psychological Services, PLLC's NPI number?
- Dr. Kirsten E. Petersen Psychological Services, PLLC's National Provider Identifier (NPI) is 1366067258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Kirsten E. Petersen Psychological Services, PLLC?
- Dr. Kirsten E. Petersen Psychological Services, PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Dr. Kirsten E. Petersen Psychological Services, PLLC located?
- Dr. Kirsten E. Petersen Psychological Services, PLLC's practice location on file with NPPES is 2389 Babylon St, Wantagh, NY 11793-4501.
- What is Dr. Kirsten E. Petersen Psychological Services, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Kirsten E. Petersen Psychological Services, PLLC is (917) 991-1042.
- Does Dr. Kirsten E. Petersen Psychological Services, PLLC accept Medicare?
- Dr. Kirsten E. Petersen Psychological Services, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr. Kirsten E. Petersen Psychological Services, PLLC?
- The authorized official listed on Dr. Kirsten E. Petersen Psychological Services, PLLC's NPPES record is Kirsten Petersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Kirsten E. Petersen Psychological Services, PLLC's NPI active?
- Yes — Dr. Kirsten E. Petersen Psychological Services, PLLC's NPI (1366067258) is active in the NPPES registry as of the last update on 2020-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.