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Tyler Peterson
NPI 1558017822 · Clinical Psychologist · Ione, CA
Tyler Peterson is a Clinical Psychologist provider in Ione, CA (NPI 1558017822).
Provider details
- NPI number
- 1558017822
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
Established profile(54/100 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
83% 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
4001 Hwy 104
Ione, CA 95640
Phone: (209) 274-4911
Approximate (ZIP-level) locationGet directions
Mailing address
4001 Hwy 104
Ione, CA 95640
Registry dates
- Enumerated
- 2022-02-25
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Frequently asked questions
- What is Tyler Peterson's NPI number?
- Tyler Peterson's National Provider Identifier (NPI) is 1558017822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Peterson's specialty?
- Tyler Peterson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Tyler Peterson located?
- Tyler Peterson's practice location on file with NPPES is 4001 Hwy 104, Ione, CA 95640.
- What is Tyler Peterson's phone number?
- The practice phone number listed in the NPPES registry for Tyler Peterson is (209) 274-4911.
- Is Tyler Peterson's NPI active?
- Yes — Tyler Peterson's NPI (1558017822) is active in the NPPES registry as of the last update on 2023-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.