NPI age
10 years
Enumerated 2016-01-04
● Active
Type 1 · Individual
Tim Peterson, PSY.D.
Peterson is 1 of 401 psychologist providers in San Antonio and 1 of 3401 in Texas.
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3401 active psychologist providers in Texas.
NPI age
10 years
↓ 5 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Practice location
4940 Broadway Ste 330
San Antonio, TX 782095744
Mailing address
119 Irvington Dr
San Antonio, TX 782094217
Specialties
-
Psychologist PrimaryA 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new psychologist provider has been added in San Antonio in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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