Jeffrey Robert Petra, PH.D.
Clinical Child & Adolescent Psychologist · Olympia, WA
Jeffrey Robert Petra, PH.D. is a clinical child & adolescent psychologist with a practice address in Olympia, Washington, and NPI 1487739603, issued on Oct 26, 2006. Check the license with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jeffrey Robert Petra
- Credential
- PH.D.
- Primary taxonomy
- Clinical Child & Adolescent Psychologist 103TC2200X
- Practice location
- 1800 Cooper Point RD SW Ste 17, Olympia, WA 98502
- Phone
- (360) 754-4662
- Enumerated
- Oct 26, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (360) 352-3289
- Medicare enrollment
- Enrolled (PECOS I20141014001394); may accept Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical child & adolescent psychologist records → All 132 in Washington → Look up another NPI →
Also registered at 1800 Cooper Point RD SW Ste 17
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jeffrey Robert Petra in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jeffrey Robert Petra among 132 clinical child & adolescent psychologist records in Washington
Jeffrey Robert Petra, PH.D. is one of 132 clinical child & adolescent psychologist records with a practice address in Washington. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 80% newer
- In a Medicare fileNo · 3% of these records are
- In the CMS Doctors and Clinicians fileYes · 9% of these records are
- Graduated2000 · median 2004 among the 12 with a school on file
- Record last updated2007 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC2200X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Child & Adolescent Psychologist providers in Washington
There are 132 clinical child & adolescent psychologist records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 132 in Washington → Every provider in Olympia → Clinical Child & Adolescent Psychologist nationwide →
The 8 clinical child & adolescent psychologist records with the nearest ZIP codes
- Siobhan Budwey, PHDOlympia, WA 985021992954606
- Joel Wagaman, PH.D.Olympia, WA 985021952467045
- Kara Meyer, PH.D.Olympia, WA 985011740591486
- Kelly Gutierrez, PHDLakewood, WA 984981982190310
- Barry Anton, PH.D.Tacoma, WA 984671649326554
- Naomi Huddlestone, PH.D.Tacoma, WA 984671699811778
- Stacey Park, PHDFircrest, WA 984661659801173
- Patricia Matestic, PH.D.Tacoma, WA 984381710211479
Common questions
What is Jeffrey Robert Petra, PH.D.'s NPI number?
Jeffrey Robert Petra, PH.D.'s National Provider Identifier (NPI) is 1487739603, issued on Oct 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jeffrey Robert Petra, PH.D. located?
The NPPES record lists a practice address at 1800 Cooper Point RD SW Ste 17, Olympia, WA, 98502. Phone: (360) 754-4662. Providers update this record themselves, so call before visiting.
How can I verify Jeffrey Robert Petra, PH.D.'s license?
Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.