Dr John Anthony Petersen, PSYD in South Bend, IN

Dr John Anthony Petersen, PSYD is a Psychologist based in South Bend, Indiana. Dr John Anthony Petersen is licensed to practice in Indiana (license number 20041594A) and his current practice location is 922 E Wayne St # 205, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 280-8199.

NPI number for Dr John Anthony Petersen is 1851491526 and his current mailing address is 208 E Angela Blvd, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851491526.

Contact Information

	Dr John Anthony Petersen, PSYD
	922 E Wayne St # 205, South Bend, IN 46617-3024
	(574) 280-8199
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Anthony Petersen
Gender	Male
Speciality	Psychologist
Location	922 E Wayne St # 205, South Bend, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1851491526
Provider Enumeration Date: 09/23/2006
Last Update Date: 12/01/2018

Medical Identifiers

Medical identifiers for Dr John Anthony Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851491526	NPI	-	NPPES
200347860A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20041594A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Anthony Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr John Anthony Petersen, PSYD 208 E Angela Blvd, South Bend, IN 46617-1202 Ph: (574) 288-7919	Dr John Anthony Petersen, PSYD 922 E Wayne St # 205, South Bend, IN 46617-3024 Ph: (574) 280-8199

Reviews and Comments

Psychologist in South Bend, IN

Rachel Njuguna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Barbara S Searle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3603 E Jefferson Blvd, Suiteb, South Bend, IN 46615 Phone: 574-237-1003 Fax: 574-237-1006
Dr. George Gilbert Moss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22057 Sandybrook Dr, South Bend, IN 46628 Phone: 574-514-4302
Nicole Gebadlo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075
Vaughn Thomas Mawhinney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 828 E Colfax Ave, South Bend, IN 46617 Phone: 574-251-1531 Fax: 574-234-5710
Joann Michelle Jackson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Jack Garden, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131

Dr John Anthony Petersen, PSYD - Psychologist in South Bend, IN