Polly Peterson, PHD
NPI 1316324700ActiveIndividual· Psychologist, Clinical· Butte, MT
Psychologist, Clinical (PHD) in Butte, Montana, licensed in MT, with an NPI issued in May 2015. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1316324700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 5, 2015 |
| Last updated in NPPES | Apr 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-PSY-LIC-337 | MT |
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 (MT) |
|---|
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other clinical psychologists in Butte
- 1316284730
- 1831212570