DR. JEFFERY J PETERSON (PH.D.) – Counseling Psychologist, NPI 1962491621

Counseling Psychologist

DR. JEFFERY J PETERSON (PH.D.) is a healthcare provider. based in Tampa, Florida. specializing in Counseling Psychologist. They hold the professional credentials PH.D.. They hold a License No. 1307 (AL). The NPI Number for DR. JEFFERY J PETERSON (PH.D.) is 1962491621

Main info

Male

Name

DR. JEFFERY J PETERSON (PH.D.)

NPI

1962491621

Phone

(813) 631-7121

Address

11707 CLUB DR

Enumeration Date

17 October 2005

Last Update Date

30 August 2007

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. JEFFERY J PETERSON (PH.D.)

11707, Club Drive, Tampa, Hillsborough County, Florida, 33612, United States
TAMPA MHBS CLINIC / OPC
TAMPA, FL 336125521
Phone: (813) 631-7121
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

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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 33612)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JEFFERY J PETERSON (PH.D.)?

DR. JEFFERY J PETERSON (PH.D.) — NPI 1962491621 — is the standard way to identify this listing.

Does the file indicate DR. JEFFERY J PETERSON (PH.D.) is practicing under active NPI?

Directory data currently reports DR. JEFFERY J PETERSON (PH.D.) as active.

What taxonomy line describes DR. JEFFERY J PETERSON (PH.D.)?

For research purposes, treat DR. JEFFERY J PETERSON (PH.D.) as Counseling Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect DR. JEFFERY J PETERSON (PH.D.) on a map?

Expect Tampa, Florida as a primary anchor for DR. JEFFERY J PETERSON (PH.D.) unless the record lists multiple sites.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.