OrganizationActive
Polly W. Peterson, PH.D.
NPI 1427702091 · Psychologist · Orange Park, FL
Polly W. Peterson, PH.D. is a Psychologist organization in Orange Park, FL (NPI 1427702091).
Provider details
- NPI number
- 1427702091
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Polly Peterson, Psychologist/Owner(904) 742-8164
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Phone: (904) 742-8235
Fax: (904) 217-7222
Street-level locationGet directions
Mailing address
2465 US Highway 1 S Unit 154
Saint Augustine, FL 32086-6076
Registry dates
- Enumerated
- 2022-02-11
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Frequently asked questions
- What is Polly W. Peterson, PH.D.'s NPI number?
- Polly W. Peterson, PH.D.'s National Provider Identifier (NPI) is 1427702091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Polly W. Peterson, PH.D.?
- Polly W. Peterson, PH.D. is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Polly W. Peterson, PH.D. located?
- Polly W. Peterson, PH.D.'s practice location on file with NPPES is 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570.
- What is Polly W. Peterson, PH.D.'s phone number?
- The practice phone number listed in the NPPES registry for Polly W. Peterson, PH.D. is (904) 742-8235.
- Who is the authorized official for Polly W. Peterson, PH.D.?
- The authorized official listed on Polly W. Peterson, PH.D.'s NPPES record is Polly Peterson, Psychologist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Polly W. Peterson, PH.D.'s NPI active?
- Yes — Polly W. Peterson, PH.D.'s NPI (1427702091) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.