DAMON PETERSON (M.ED, PBSF) – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1194042515

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

DAMON PETERSON (M.ED, PBSF) is a healthcare provider. based in Petersburg, Virginia. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. They hold the professional credentials M.ED, PBSF. They hold a License No. 148 (VA). The NPI Number for DAMON PETERSON (M.ED, PBSF) is 1194042515

Main info

Male
Sole Proprietor
Name
DAMON PETERSON (M.ED, PBSF)
NPI
1194042515
Phone
(804) 861-5201
Address
24812 BRICKWOOD MEADOW LN
Enumeration Date
24 April 2010
Last Update Date
24 April 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for DAMON PETERSON (M.ED, PBSF)

  • 24812 BRICKWOOD MEADOW LN

    PETERSBURG, VA 238038869

    Phone: (804) 861-5201

    Type: Location

  • PO BOX 334

    PETERSBURG, VA 238040334

    Phone: (804) 861-5201

    Type: Mailing

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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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 23803)

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Frequently asked questions

What is the 10-digit NPI for DAMON PETERSON (M.ED, PBSF)?
DAMON PETERSON (M.ED, PBSF) — NPI 1194042515 — is the standard way to identify this listing.
Does CMS list DAMON PETERSON (M.ED, PBSF) as active?
Yes — DAMON PETERSON (M.ED, PBSF) is active in the NPI listing used on this page.
What is DAMON PETERSON (M.ED, PBSF)'s specialty?
The listing groups DAMON PETERSON (M.ED, PBSF) with Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What area does DAMON PETERSON (M.ED, PBSF) serve?
DAMON PETERSON (M.ED, PBSF)'s listing highlights Petersburg, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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