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

Dr. John Anthony Petersen, PSYD

Individual provider Psychologist · NPI 1851491526

Dr. John Anthony Petersen, PSYD is a Psychologist in South Bend, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
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

922 E Wayne St # 205
South Bend, IN 46617-3024
Phone: (574) 280-8199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 S Saint Peter St, South Bend, IN 46617-2912 — (574) 280-8199

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20041594A (IN)

Record details

NPI number1851491526
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 23, 2006
Last updated in NPPESDecember 1, 2018
Mailing address208 E Angela Blvd, South Bend, IN 46617-1202

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