Leland W. Petersen, CP
NPI 1790902229ActiveIndividual· Psychologist, Clinical· Glen Head, NY
Psychologist, Clinical (CP) in Glen Head, New York, licensed in NY, with an NPI issued in April 2007.
Overview
| NPI | 1790902229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CP |
| Sole proprietor | Yes |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Oct 31, 2007 |
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 |
|---|
Other clinical psychologists in Glen Head
- 1083831408
- 1508922600
- 1497888390
- 1558317735
- 1235201906
- 1871799155
- 1902619042
- 1306054556
- 1700229663
- 1700341088