Dr Mark Peterson, PSYD in Windsor, CA - Psychologist

Dr Mark Peterson, PSYD is a Psychologist - Clinical based in Windsor, California. Dr Mark Peterson is licensed to practice in California (license number PSB94026068) and his current practice location is 8911 Lakewood Dr # 26a, Windsor, California. He can be reached at his office (for appointments etc.) via phone at (916) 798-7072.

NPI number for Dr Mark Peterson is 1417600511 and his current mailing address is 9033 Acorn Ridge Cir, Elk Grove, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417600511.

Contact Information

	Dr Mark Peterson, PSYD
	8911 Lakewood Dr # 26a, Windsor, CA 95492-7856
	(916) 798-7072
	Not Available

Healthcare Provider's Profile

Full Name	Dr Mark Peterson
Gender	Male
Speciality	Psychologist - Clinical
Location	8911 Lakewood Dr # 26a, Windsor, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1417600511
Provider Enumeration Date: 01/28/2022
Last Update Date: 01/28/2022

Medical Identifiers

Medical identifiers for Dr Mark Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417600511	NPI	-	NPPES
18611570000	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSB94026068 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Peterson, PSYD 9033 Acorn Ridge Cir, Elk Grove, CA 95758-5413 Ph: (916) 798-7072	Dr Mark Peterson, PSYD 8911 Lakewood Dr # 26a, Windsor, CA 95492-7856 Ph: (916) 798-7072

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Psychologist in Windsor, CA

Pamela Anne Meehan Moulton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9748 Lakewood Dr, Windsor, CA 95492 Phone: 707-328-0026
Eileen Denise Roberts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8911 Lakewood Dr Ste 25b, Windsor, CA 95492 Phone: 707-338-9084 Fax: 707-433-9084

Dr Mark Peterson, PSYD - Psychologist in Windsor, CA