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

Jeffrey Robert Petra, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1487739603

Jeffrey Robert Petra, PHD is a Clinical Psychologist in Olympia, Washington. Qualified in 2000, 26 years ago. Practices as a sole proprietor and offers telehealth.

Years since qualifying
26
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Cooper Point Rd SW Ste 17
Olympia, WA 98502-1179
Phone: (360) 754-4662
Fax: (360) 352-3289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1487739603
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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