Mark Peterson
NPI 1841474012 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grand Rapids, MI
Mark Peterson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Grand Rapids, MI (NPI 1841474012).
Provider details
- NPI number
- 1841474012
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6802071051 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 6802071051 (MI)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-12-24
- Last updated
- 2007-12-24
Frequently asked questions
- What is Mark Peterson's NPI number?
- Mark Peterson's National Provider Identifier (NPI) is 1841474012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Peterson's specialty?
- Mark Peterson is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mark Peterson located?
- Mark Peterson's practice location on file with NPPES is 3351 36th St, Grand Rapids, MI 49331.
- What is Mark Peterson's phone number?
- The practice phone number listed in the NPPES registry for Mark Peterson is (616) 831-5659.
- Is Mark Peterson's NPI active?
- Yes — Mark Peterson's NPI (1841474012) is active in the NPPES registry as of the last update on 2007-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.