DR. CELESTE PIETRUSZA PH.D.
NPI 1124615034
Psychologist - Clinical in Brooklyn, NY

Active since December 26, 2020Opted out of Medicare · through Mar 27, 2028
89 FORT GREENE PL FL 2, BROOKLYN, NY 11217(917) 773-7228 Get Directions Write a Review

NPPES record last updated: December 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Celeste Pietrusza Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CELESTE PIETRUSZA PH.D. (NPI 1124615034) is an individual clinical provider in Brooklyn, New York, licensed in New York (024108) and active in the NPI registry since December 2020. She has opted out of Medicare through March 27, 2028 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1124615034
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CELESTE PIETRUSZACredential: PH.D.
Location Address89 FORT GREENE PL FL 2Brooklyn, NY 11217-1203
Mailing Address601 W 149th St Apt 67New York, NY 10031-3157 · (917) 773-7228
Sole ProprietorNo
Enumeration DateDecember 26, 2020
NPPES CertifiedDecember 26, 2020
NPI 1124615034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 024108
Definition
A 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 specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
89 FORT GREENE PL FL 2, Brooklyn, NY 11217

Secondary Practice Location 1

Location 1601 W 149th St Apt 67New York, NY 10031-3157 · Phone (917) 773-7228

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Celeste Pietrusza Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 27, 2024 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2024
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
89 FORT GREENE PL FL 2
BROOKLYN, NY 11217
Psychologist (Clinical)
89 FORT GREENE PL FL 2
BROOKLYN, NY 11217
Social Worker (Clinical)
89 FORT GREENE PL FL 2
BROOKLYN, NY 11217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Celeste Pietrusza's NPI number?

The NPI number for Celeste Pietrusza is 1124615034. It was assigned to this individual provider in the NPPES registry on December 26, 2020.

Where is Celeste Pietrusza located?

Celeste Pietrusza practices at 89 Fort Greene Pl Fl 2, Brooklyn, NY 11217. The listed phone number is (917) 773-7228.

What is Celeste Pietrusza's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Celeste Pietrusza enrolled in Medicare?

No. Celeste Pietrusza has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Celeste Pietrusza was last updated on December 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.