STEVEN THOMAS PETERS – Clinical Psychologist, NPI 1114471687

STEVEN THOMAS PETERS is a healthcare provider. based in Flint, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 6301015994 (MI). The NPI Number for STEVEN THOMAS PETERS is 1114471687

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN THOMAS PETERS
NPI
1114471687
Phone
(810) 257-3709
Address
420 W 5th Ave
Enumeration Date
12 August 2016
Last Update Date
4 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106894846
Graduation Year
2017 (9 years ago)
PAC ID
0648523001
Group Practice PAC ID
9133347354
Professional Enrollment ID
I20181101000325
Address ID
MI484711244SA51XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for STEVEN THOMAS PETERS

  • 420 W 5th Ave

    Flint, MI 485032445

    Phone: (810) 257-3709

    Type: Location

  • 1475 E BROWN RD

    MAYVILLE, MI 487449503

    Phone: (810) 728-8043

    Type: Mailing

  • 651, North State Street, Caro, Tuscola County, Michigan, 48723, United States

    CARO, MI 487231543

    Phone: (989) 673-5700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181101000325IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133347354View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Physician AssistantMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
-MI

Reviews

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Frequently asked questions

What number should I use to identify STEVEN THOMAS PETERS for billing?
Administrative and clinical systems typically use NPI 1114471687 for STEVEN THOMAS PETERS.
Should I treat STEVEN THOMAS PETERS as an active provider?
Patients and plans typically see STEVEN THOMAS PETERS as active in the national extract.
What does the directory say STEVEN THOMAS PETERS does?
Insurance directories may phrase it differently, but here STEVEN THOMAS PETERS maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEVEN THOMAS PETERS?
STEVEN THOMAS PETERS is associated with Flint, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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