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

Peter Johannes Van Roessel, MDPHD

Individual provider Psychiatry Physician · NPI 1366600975

Peter Johannes Van Roessel, MDPHD is a Psychiatry in Stanford, California. Graduated from Stanford University School of Medicine in 2007, 19 years ago. Practices with Stanford Health Care, a 3,085-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
19
Trained at
Stanford University School of Medicine
Licensed in
CA, NY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence C146979 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 250081 (NY)

Record details

NPI number1366600975
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMay 30, 2008
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stanford