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

Timothy D. Peters, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1881635076

Timothy D. Peters, MD is a Psychiatry in Santa Rosa, California. Graduated from University of Louisville School of Medicine in 2000, 26 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Kentucky.

Years since qualifying
26
Trained at
University of Louisville School of Medicine
Licensed in
CA, KY
In the registry since
2006
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

2235 Mercury Way
Santa Rosa, CA 95407-5473
Phone: (707) 239-4426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence C195627 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 39646 (KY)

Record details

NPI number1881635076
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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