IndividualActive
Regina Petterson, PSY.D.
NPI 1417059965 · Psychologist · Los Angeles, CA
Regina Petterson, PSY.D. is a Psychologist provider in Los Angeles, CA (NPI 1417059965).
Provider details
- NPI number
- 1417059965
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY18490 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11980 San Vicente Blvd
Suite 701
Los Angeles, CA 90049-5012
Phone: (310) 462-3134
Street-level locationGet directions
Mailing address
11980 San Vicente Blvd
Los Angeles, CA 90049-5012
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Regina Petterson's NPI number?
- Regina Petterson's National Provider Identifier (NPI) is 1417059965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Regina Petterson's specialty?
- Regina Petterson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Regina Petterson located?
- Regina Petterson's practice location on file with NPPES is 11980 San Vicente Blvd, Los Angeles, CA 90049-5012.
- What is Regina Petterson's phone number?
- The practice phone number listed in the NPPES registry for Regina Petterson is (310) 462-3134.
- Is Regina Petterson's NPI active?
- Yes — Regina Petterson's NPI (1417059965) is active in the NPPES registry as of the last update on 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.