POLLY W. PETERSON, PH.D. – Psychologist, NPI 1427702091

POLLY W. PETERSON, PH.D. is a healthcare provider. based in Saint augustine, Florida. specializing in Psychologist. The NPI Number for POLLY W. PETERSON, PH.D. is 1427702091

Main info

Organization
Name
POLLY W. PETERSON, PH.D.
NPI
1427702091
Phone
(904) 742-8164
Address
2465 US HIGHWAY 1 S UNIT 154
Authorized Official
DR. POLLY WIETZKE PETERSON PSYCHOLOGIST/OWNER PHD
Enumeration Date
11 February 2022
Last Update Date
11 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for POLLY W. PETERSON, PH.D.

  • 2465 US HIGHWAY 1 S UNIT 154

    SAINT AUGUSTINE, FL 320866076

    Phone: (904) 742-8164

    Fax: (904) 217-7222

    Type: Mailing

  • 1543 KINGSLEY AVE STE 14

    ORANGE PARK, FL 320734570

    Phone: (904) 742-8235

    Fax: (904) 217-7222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 32086)

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Reviews

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Frequently asked questions

What is the registry number for POLLY W. PETERSON, PH.D.?
The registry entry for POLLY W. PETERSON, PH.D. shows NPI 1427702091.
Quick check: is POLLY W. PETERSON, PH.D. active?
Public NPPES data shows POLLY W. PETERSON, PH.D. with an active NPI status right now.
What does the directory say POLLY W. PETERSON, PH.D. does?
Insurance directories may phrase it differently, but here POLLY W. PETERSON, PH.D. maps to Psychologist. Clinical services aligned with this taxonomy classification.
Is POLLY W. PETERSON, PH.D. tied to Saint Augustine, Florida?
If you are local to Saint Augustine, Florida, POLLY W. PETERSON, PH.D. may be relevant to your search.
Can I export POLLY W. PETERSON, PH.D.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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