DR. ROBERT LYNN PETERSON (PHD, LP) – Clinical Psychologist, NPI 1942209481

DR. ROBERT LYNN PETERSON (PHD, LP) is a healthcare provider. based in Shakopee, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PHD, LP. They hold a License No. 2415 (MN). The NPI Number for DR. ROBERT LYNN PETERSON (PHD, LP) is 1942209481

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT LYNN PETERSON (PHD, LP)
NPI
1942209481
Phone
Not provided
Address
200 4TH AVE W
Enumeration Date
18 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524316033
Graduation Year
1990 (36 years ago)
PAC ID
1759369341
Group Practice PAC ID
2365339322
Professional Enrollment ID
I20040709001244
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROBERT LYNN PETERSON (PHD, LP)

  • 200, 4th Avenue West, Shakopee, Scott County, Minnesota, 55379, United States

    GOVERNMENT CENTER RM 300

    SHAKOPEE, MN 553791220

    Phone:

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 55379)

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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: 2365339322View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Certified Clinical Nurse Specialist (Cns)MN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Certified Nurse Midwife (Cnm)MN

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Frequently asked questions

Does DR. ROBERT LYNN PETERSON (PHD, LP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ROBERT LYNN PETERSON (PHD, LP) uses 1942209481.
Does CMS list DR. ROBERT LYNN PETERSON (PHD, LP) as active?
Yes — DR. ROBERT LYNN PETERSON (PHD, LP) is active in the NPI listing used on this page.
What is DR. ROBERT LYNN PETERSON (PHD, LP)'s specialty?
The listing groups DR. ROBERT LYNN PETERSON (PHD, LP) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT LYNN PETERSON (PHD, LP) based?
DR. ROBERT LYNN PETERSON (PHD, LP) is tied to Shakopee, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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