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

Shannon Peterson, MD

Individual provider Psychiatry Physician · NPI 1710197041

Shannon Peterson, MD is a Psychiatry in Walnut Creek, California. Graduated from University of Southern California Keck School of Medicine in 2006, 20 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Massachusetts.

Years since qualifying
20
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, MA
In the registry since
2007
Specialties on file
2
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

201 N Civic Dr Ste 183
Walnut Creek, CA 94596-3864
Phone: (925) 299-9033
Fax: (925) 299-9030
Show map & directions

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

Additional practice locations (1)

  • 85 E Newton St # M802, Boston, MA 02118-2340 — (617) 638-8540

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A115681 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 229585 (MA)

Record details

NPI number1710197041
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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