JOANNE PETERSON ED.D
NPI 1750475430
Psychologist in Hilton Head Island, SC

NPI Status: Active since October 03, 2006

Contact Information

40 BAYNARD COVE RD
HILTON HEAD ISLAND, SC
ZIP 29928
Phone: (815) 409-6606
Fax: (843) 363-9997

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  • Individual
  • Female
  • Psychologist
  • Accepts Insurance
  • Opted-Out Medicare

About JOANNE PETERSON

This page provides the complete NPI Profile along with additional information for Joanne Peterson, a provider established in Hilton Head Island, South Carolina with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1750475430 assigned on October 2006. The practitioner's primary taxonomy code is 103T00000X with license number 071005887 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1750475430
Provider Name
JOANNE PETERSON ED.D
Other Name
JOANNE E HATTENDORF EDD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
40 BAYNARD COVE RD HILTON HEAD ISLAND, SC 29928
Location Phone
(815) 409-6606
Location Fax
(843) 363-9997
Mailing Address
40 BAYNARD COVE RD HILTON HEAD ISLAND, SC 29928
Mailing Phone
(815) 409-6606
Mailing Fax
(843) 363-9997
Is Sole Proprietor?
No
Enumeration Date
10-03-2006
Last Update Date
01-24-2017
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A psychologist like Joanne Peterson studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Joanne Peterson opted out of Medicare effective on 06-22-2022 until 06-22-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
071005887
License State
IL
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
219043OTHER (01)ILMAGELLAN
274154OTHER (01)ILVALUE BEHAVIORAL HEALTH
0991516762OTHER (01)ILBCBS

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 06-22-2022

  • Opt-Out End Date: 06-22-2026

  • Eligible to Order and Refer? No

Reviews for JOANNE PETERSON ED.D

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750475430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100871046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 7 + 1 + 0 + 4 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750475430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548711641JOANNE PETERSON EDD LLC
Organization
Psychologist40 BAYNARD COVE RD
HILTON HEAD ISLAND, SC 29928
(815) 409-6606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750475430, enumerated in the NPI registry as an "individual" on October 03, 2006

The provider is located at 40 Baynard Cove Rd Hilton Head Island, Sc 29928 and the phone number is (815) 409-6606

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

No, the provider signed an affidavit on June 22, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 22, 2026.

This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.