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

Dr. Timothy Allen Petersen, PSYD

Individual provider Psychologist · NPI 1104070119

Dr. Timothy Allen Petersen, PSYD is a Psychologist in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

16055 Ventura Blvd Ste 920
Encino, CA 91436-2601
Phone: (818) 377-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY 19159 (CA)

Record details

NPI number1104070119
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedNovember 5, 2008
Last updated in NPPESNovember 5, 2008

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