Gregory Petersen, PHD
NPI 1275509804ActiveIndividual· Psychologist, Clinical· Roanoke, VA
Psychologist, Clinical (PHD) with Northwestern Medical Faculty Foundation, practicing in Roanoke, Virginia. Medicare paid $11,522 for services to 41 patients in 2024.
Overview
| NPI | 1275509804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Feb 24, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 0810-002774 | VA |
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) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 201 across 9 procedure codes |
| Paid by Medicare | $11,522 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Other clinical psychologists in Roanoke
- 1144230483
- 1225262678
- 1265055321
- 1326090580
- 1356443170
- 1396433074
- 1396619888
- 1417975806
- 1467424895
- 1568051373
- 1700431152
- 1881742427
All 44 clinical psychologists in Roanoke · All clinical psychologists in Virginia