Search › California › 175T00000X
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 HealthInferred 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