IndividualActive
Magnum Peterson, EDS
NPI 1922722354 · School Psychologist · Red Oak, IA
Provider details
- NPI number
- 1922722354
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- EDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1196254 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
607 E Oak St
Red Oak, IA 51566-1642
Phone: (336) 739-0069
Street-level locationGet directions
Mailing address
607 E Oak St
Red Oak, IA 51566-1642
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.