P Praxis·MD
● Active Type 1 · Individual

Melissa Edwards Petersen, PHD

Clinical Neuropsychologist·Fort Worth, TX· NPI 1144860917 · Enumerated 2020 · 6 years on NPI
Petersen is 1 of 12 clinical neuropsychologist providers in Fort Worth and 1 of 496 in Texas.
NPI age
6 years
Enumerated 2020-01-09
Primary specialty
Clinical Neuropsychologist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 496 active clinical neuropsychologist providers in Texas.

NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Practice location
855 Montgomery St
Fort Worth, TX 761072553
📞 8177352200
Mailing address
855 Montgomery St
Fort Worth, TX 761072553
📞 8177352200

Specialties

  • Clinical Neuropsychologist Primary
    A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
    TX license #36939 taxonomy 103G00000X
  • Psychologist
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    TX license #36939 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 237 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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