IndividualActive
Antje Petersen, MFT
NPI 1366498263 · Psychiatry Physician · Chula Vista, CA
Provider details
- NPI number
- 1366498263
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MFT
- Sex
- Female
- Sole proprietor
- No
- License
- MFC42087 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
450 Fourth Avenue
Ste 215
Chula Vista, CA 91910-4428
Phone: (619) 498-5454
Fax: (619) 528-4625
Street-level locationGet directions
Mailing address
Po Box 609001
San Diego, CA 92160-9001
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.