JON PETERSON PSYCHOLOGIST PHD PC NPI 1396983128

NPI Information

  • NPI: 1396983128
  • Provider Name: JON PETERSON PSYCHOLOGIST PHD PC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: JON PETERSON,PHD
  • Address: 25401 CABOT RD
    SUITE 213
    LAGUNA HILLS, CA
    ZIP 92653
  • Phone: (949) 363-7386

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NPI Details

JON PETERSON PSYCHOLOGIST PHD PC is a mental health (including community mental health center) clinic center in Laguna Hills, CA. JON PETERSON PSYCHOLOGIST PHD PC NPI is 1396983128. The provider is registered as an organization entity type.
The provider Is Doing Business As Jon Peterson,phd.

The provider's business location address is:

25401 CABOT RD
SUITE 213
LAGUNA HILLS, CA
ZIP 92653-524
Phone: (949) 363-7386
Fax: (949) 276-2199

The provider's authorized official is Jon W Peterson .
The authorized official title is Owner and has the following contact phone number (949) 363-7386.

The enumeration date for this NPI number is 2/2/2009 and was last updated on 2/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)PSY6987CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP 6987MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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