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

Richard Todd Peterson, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1619152097

Richard Todd Peterson, MD is a Psychiatry in Chaska, Minnesota. Graduated from State University of New York at Stony Brook, School of Medicine in 2006, 20 years ago. Practices with St Croix Psychiatric LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
20
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
MN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Hundertmark Rd Ste 205N
Chaska, MN 55318-1586
Phone: (952) 903-1350
Fax: (952) 426-3856
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 53964 (MN)

Record details

NPI number1619152097
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2008
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Croix Psychiatric Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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