P Praxis·MD
● Active Type 1 · Individual

Janette Susan Peterson

Psychologist·Leadore, ID· NPI 1407433006 · Enumerated 2021 · 5 years on NPI
Peterson is 1 of 1 psychologist providers in Leadore and 1 of 23 in Idaho.
NPI age
5 years
Enumerated 2021-03-28
Primary specialty
Psychologist
Licensed in
TN
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23 active psychologist providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
27 Harvey Ln
Leadore, ID 834645035
📞 2083030307
Mailing address
Po Box 58
Leadore, ID 834640058
📞 2083030307

Specialties

  • Psychologist Primary
    A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares...
    TN license #0000641145 taxonomy 103TS0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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