Peter Theodore, PHD
NPI 1487080651 · Psychologist · Los Angeles, CA
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Theodore, PHD is a Psychologist provider in Los Angeles, CA (NPI 1487080651).
Provider details
- NPI number
- 1487080651
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY22511 (CA)
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
12 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
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2013-09-19
Frequently asked questions
- What is Peter Theodore's NPI number?
- Peter Theodore's National Provider Identifier (NPI) is 1487080651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Theodore's specialty?
- Peter Theodore is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Peter Theodore located?
- Peter Theodore's practice location on file with NPPES is 116 N Robertson Blvd, Los Angeles, CA 90048-3103.
- What is Peter Theodore's phone number?
- The practice phone number listed in the NPPES registry for Peter Theodore is (626) 270-3351.
- Does Peter Theodore accept Medicare?
- Peter Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Theodore's NPI active?
- Yes — Peter Theodore's NPI (1487080651) is active in the NPPES registry as of the last update on 2013-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.