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

Dr. Kirsten E Petersen, PHD

Individual provider Clinical Psychologist · NPI 1831581594

Dr. Kirsten E Petersen, PHD is a Clinical Psychologist in Wantagh, New York. Qualified in 2014, 12 years ago. Works from 3 locations and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2389 Babylon St
Wantagh, NY 11793-4501
Phone: (917) 991-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3512 Quentin Rd, Brooklyn, NY 11234-4244 — (800) 275-3243
  • 1745 Broadway Fl 17, New York, NY 10019-4642 — (212) 851-8102

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 021715 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence P95464 (NY)

Record details

NPI number1831581594
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 4, 2015
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020
Mailing address2389 Babylon St, Wantagh, NY 11793-4501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Wantagh