Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse Frederick Peterson, PSYD

Individual provider Psychologist · NPI 1457996910

Jesse Frederick Peterson, PSYD is a Clinical Psychologist in Green Bay, Wisconsin. Qualified in 2017, 9 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone: (920) 433-6073
Fax: (920) 431-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 S Webster Ave, Green Bay, WI 54301-3500 — (920) 433-6073

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3690-57 (WI)

Record details

NPI number1457996910
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESNovember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Green Bay