Carol B. Peterson, ED. D.
NPI 1629056080ActiveIndividual· Psychologist, Counseling· Louisville, KY
Psychologist, Counseling (ED. D.) with Psychology Resource Group, PLLC, practicing in Louisville, Kentucky. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1629056080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED. D. |
| Sole proprietor | No |
| NPI issued | Jan 5, 2006 |
| Last updated in NPPES | Jan 5, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 1140 | KY |
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 (KY) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Psychology Resource Group, PLLCLouisville, KY · 2 clinicians
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