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

Individual provider Clinical Neuropsychologist · NPI 1699902759

Dr. Michael Alex Peterson, PHD is a Clinical Neuropsychologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

1425 Leimert Blvd Ste 403
Oakland, CA 94602-1865
Phone: (510) 531-0500
Fax: (510) 336-0902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 18593 (CA)

Record details

NPI number1699902759
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 16, 2009
Last updated in NPPESJune 16, 2009

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