SearchCalifornia175T00000X

Michael Petersen

NPI 1871257535 · on the registry since 2021

Practice

Address
2425 Bisso Ln Ste 100
Concord, CA 94520
Phone
(925) 500-3093
Organisation at this address
Contra Costa County
Contra Costa County
Contra Costa County
Contra Costa County Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
155

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101YM0800X
172V00000X
373H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California