Leland W. Petersen, Psychologist, P.C.
NPI 1083831408ActiveOrganization· Psychologist, Clinical· Glen Head, NY
Psychologist, Clinical in Glen Head, New York, registered in NPPES in April 2007. The authorized official on file is Leland Walter Petersen, PH.D., President.
Overview
| NPI | 1083831408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Jun 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 05430 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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