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John Petersen, PSY.D.
NPI 1851491526 · Psychologist · South Bend, IN
John Petersen, PSY.D. is a Psychologist provider in South Bend, IN (NPI 1851491526).
Provider details
- NPI number
- 1851491526
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20041594A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 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
2 documented practice locations
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
922 E Wayne St # 205
South Bend, IN 46617-3024
Phone: (574) 280-8199
Street-level locationGet directions
Mailing address
208 E Angela Blvd
South Bend, IN 46617-1202
Additional practice locations (1)
- 115 S Saint Peter StSouth Bend, IN 46617-2912Phone: (574) 280-8199Fax: (574) 280-8199
Registry dates
- Enumerated
- 2006-09-23
- Last updated
- 2018-12-01
Frequently asked questions
- What is John Petersen's NPI number?
- John Petersen's National Provider Identifier (NPI) is 1851491526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Petersen's specialty?
- John Petersen is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is John Petersen located?
- John Petersen's practice location on file with NPPES is 922 E Wayne St # 205, South Bend, IN 46617-3024.
- What is John Petersen's phone number?
- The practice phone number listed in the NPPES registry for John Petersen is (574) 280-8199.
- Is John Petersen's NPI active?
- Yes — John Petersen's NPI (1851491526) is active in the NPPES registry as of the last update on 2018-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.