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DR. ANTONIO PETRUZZELLA PHD
NPI 1184213498
Psychologist - Clinical in Fort Lauderdale, FL

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment
805 E BROWARD BLVD STE 301, FORT LAUDERDALE, FL 33301(954) 300-2195 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 6, 2025, Dec 20, 2024, Jan 12, 2021 (3 updates tracked since 2021).

About Dr. Antonio Petruzzella Phd NPPES

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

DR. ANTONIO PETRUZZELLA PHD (NPI 1184213498) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (PY11566) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184213498
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANTONIO PETRUZZELLACredential: PHD
Location Address805 E BROWARD BLVD STE 301Fort Lauderdale, FL 33301-2046
Mailing Address805 E Broward Blvd Ste 301Fort Lauderdale, FL 33301-2046
Phone(954) 300-2195
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 12, 2021
Last NPPES UpdateSeptember 6, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2025
✔ NPI 1184213498 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 FL · PY11566
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.
805 E BROWARD BLVD STE 301, Fort Lauderdale, FL 33301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Antonio Petruzzella Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294232500
PECOS Enrollment IDI20251010002224
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Antonio Petruzzella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Antonio Petruzzella, Phd, LLC
Same address
Clinical
805 E BROWARD BLVD STE 301
Fort Lauderdale, FL 33301
  • Reassigned Medicare billing, Florida enrollment
NPI 1801604996 (954) 300-2195

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

DR. DAVID LIONEL FORSTADT PSYD, LPC, CASAC
Psychologist
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (323) 205-5345
ANDERSON MENTAL HEALTH SERVICES LLC
Psychiatry & Neurology (Psychiatry)
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (954) 994-1312
LENDING EARS
Marriage & Family Therapist
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (786) 745-7108
MS. AMY LEE ELLOWITZ MSW
Social Worker (Clinical)
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (954) 683-1215
SANAY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (720) 926-8151
ANDERSON MEDICAL SERVICES LLC
Psychiatry & Neurology (Psychiatry)
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (954) 994-1312
MICHELLE JUDITH JEUDY OLOTCH
Nurse Practitioner (Psychiatric/Mental Health)
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (754) 346-8010
SAMANTHA HACKER
Counselor (Mental Health)
805 E BROWARD BLVD STE 301
FORT LAUDERDALE, FL 33301
Broward County (754) 229-0730

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 Antonio Petruzzella's NPI number?

The NPI number for Antonio Petruzzella is 1184213498. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Antonio Petruzzella located?

Antonio Petruzzella practices at 805 E Broward Blvd Ste 301, Fort Lauderdale, FL 33301. The listed phone number is (954) 300-2195.

What is Antonio Petruzzella's specialty?

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

Is Antonio Petruzzella enrolled in Medicare?

Yes. Antonio Petruzzella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Antonio Petruzzella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Petruzzella reassigns Medicare benefits to Antonio Petruzzella, Phd, LLC (Fort Lauderdale, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Petruzzella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Petruzzella accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Antonio Petruzzella as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antonio Petruzzella was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.