Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brian A Petersen, PSYD

Individual provider Clinical Psychologist · NPI 1215169818

Dr. Brian A Petersen, PSYD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

412 6th Ave #610
New York, NY 10011-8409 Not confirmed with CMS for 17 years — call before visiting
Phone: (917) 621-5822
Fax: (212) 346-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence # 016797-1 (NY)

Record details

NPI number1215169818
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 14, 2009
Last updated in NPPESAugust 14, 2009

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