RYAN NICHOLAS PETRECCA - NPI 1376296665 - Counselor in Newport Beach, CA

Q: What is Ryan Petrecca's NPI number?

The NPI number for Ryan Petrecca is 1376296665. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Q: What is Ryan Petrecca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Petrecca was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ryan Nicholas Petrecca NPPES

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

RYAN NICHOLAS PETRECCA (NPI 1376296665) is an individual mental health provider in Newport Beach, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1376296665

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRYAN NICHOLAS PETRECCA

Location Address1151 DOVE ST STE 150Newport Beach, CA 92660-2837

Mailing Address12912 Brookhurst St Ste 480Garden Grove, CA 92840-4867 · (714) 636-6286

Phone(949) 630-8290

Sole ProprietorNo

Enumeration DateJanuary 27, 2022

Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1376296665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

1151 DOVE ST STE 150, Newport Beach, CA 92660

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Other Providers at the Same Location NPPES 20

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

MARIA CELENE CANLAS RBT

Behavior Technician