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

Timothy J Petersen, PHD

Individual provider Psychologist · NPI 1295737898

Timothy J Petersen, PHD is a Clinical Psychologist in Boston, Massachusetts. Qualified in 1998, 28 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
28
Licensed in
MA
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Bowdoin Sq 7th Fl Ofc 744
Boston, MA 02114-2927
Phone: (617) 643-0262
Fax: (617) 726-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 7731 (MA)

Record details

NPI number1295737898
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 12, 2005
Last updated in NPPESSeptember 4, 2008
Mailing address1 Bowdoin Sq, 7th Floor, Office 744, Boston, MA 02114-2927

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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