Provider Profile
Listed in the NPI registry as a psychologist, Polly W. Peterson, PhD practices in Orange Park, FL. According to Medicare claims data, Polly cared for 28 Medicare patients across 263 services. The services billed most often include psychiatric services complicated by communication factor and psychotherapy, 1 hour.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1543 KINGSLEY AVE STE 14
Orange Park, FL 32073
Within Psychology (Unspecified) generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
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Therapy Modalities
263 services · 28 patients · 2 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Psychiatric services complicated by communication factor | Treatment | 90785 |
134 | As often as other peers in Psychologist |
| Psychotherapy, 1 hour | Treatment | 90837 |
129 | Less often than most peers in Psychologist |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Polly W. Peterson is a psychologist in Orange Park, FL. That is the designation recorded for this NPI in the federal registry.
NPI registry
Polly W. Peterson is listed at 1543 Kingsley Ave Ste 14, Orange Park, FL 32073. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (904) 742-8164. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Polly W. Peterson's National Provider Identifier is 1902929698. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Polly W. Peterson attended Other, graduating in 1973. This comes from the CMS National Downloadable File.
CMS public data
Polly W. Peterson has 53 years experience. Calculated from a graduation year of 1973, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Polly W. Peterson provides treatments such as psychiatric services complicated by communication factor and psychotherapy, 1 hour. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Polly W. Peterson. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.