Jesse Frederick Peterson, PSYD
Psychologist · Green Bay, WI
Jesse Frederick Peterson, PSYD is a psychologist with a practice address in Green Bay, Wisconsin, and NPI 1457996910, issued on Nov 8, 2019. Check the license (Wisconsin 3690-57, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jesse Frederick Peterson
- Credential
- PSYD
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 3690-57 WI
Self-reported in NPPES; status is on the state search - Practice location
- 301 E Saint Joseph St, Green Bay, WI 54301
- Phone
- (920) 433-6073
- Enumerated
- Nov 8, 2019
- Record last updated
- Nov 11, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (920) 431-0333
- Medicare enrollment
- Enrolled (PECOS I20191116000147); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 949 in Wisconsin → Look up another NPI →
Also registered at 301 E Saint Joseph St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tamara Baldwin, APNPNurse Practitioner1518942937
- Denise Balzola, MSWMental Health Counselor1528043858
- Pamela Baranczyk, LCSW,SACClinical Social Worker1518134014
- Kathryn Bassett, QTTClinical Social Worker1740764182
- Bliss Baudhuin, LPCCounselor1881679124
- Sarah Baumgartner, PHDPsychologist1992086748
Verify Jesse Frederick Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3690-57Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Bellin Memorial Hospital IncGreen Bay, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jesse Frederick Peterson among 949 psychologist records in Wisconsin
Jesse Frederick Peterson, PSYD is one of 949 psychologist records with a practice address in Wisconsin. 27% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 84% of them.
- NPI issued2019 · 84% of these records are older, 13% newer
- In a Medicare fileYes · 27% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2017 · median 2006 among the 292 with a school on file
- Record last updated2019 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychologist providers in Wisconsin
There are 949 psychologist records in Wisconsin.
All 949 in Wisconsin → Every provider in Green Bay → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Sarah Baumgartner, PHDGreen Bay, WI 543011992086748
- Brian Cagle, PSYDGreen Bay, WI 543011073598314
- Jay Fostner, PHDGreen Bay, WI 543011942475827
- William Hitch, PH.D., ABPPGreen Bay, WI 543011063454502
- Richard Rider, PSY.D.Green Bay, WI 543011780648022
- Tara Robertson, MS.,PSYDGreen Bay, WI 543011831229376
- Gabrielle Rodriguez, PSY.DGreen Bay, WI 543011073108239
- Irma Smet, PHDGreen Bay, WI 543011023032745
Common questions
What is Jesse Frederick Peterson, PSYD's NPI number?
Jesse Frederick Peterson, PSYD's National Provider Identifier (NPI) is 1457996910, issued on Nov 8, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Jesse Frederick Peterson, PSYD located?
The NPPES record lists a practice address at 301 E Saint Joseph St, Green Bay, WI, 54301. Phone: (920) 433-6073. Providers update this record themselves, so call before visiting.
How can I verify Jesse Frederick Peterson, PSYD's license?
NPPES lists Wisconsin license number 3690-57, as entered by the provider. Search the Wisconsin 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. Medicare files from data.cms.gov. 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.