NICOLE LYNN PETRUSIK B.S.
NPI 1407114119
Clinic/Center - Adolescent and Children Mental Health in Pittsburgh, PA

Active since May 01, 2012
5231 PENN AVE, PITTSBURGH, PA 15224(412) 518-7544(412) 204-9133 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Lynn Petrusik B.s. NPPES

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

NICOLE LYNN PETRUSIK B.S. (NPI 1407114119) is an individual adolescent and children mental health provider in Pittsburgh, Pennsylvania and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1407114119
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameNICOLE LYNN PETRUSIKCredential: B.S.
Location Address5231 PENN AVEPittsburgh, PA 15224-1768
Mailing Address430 Sarver RdSarver, PA 16055-9502 · (724) 256-0798
Fax(412) 204-9133
Sole ProprietorYes
Enumeration DateMay 1, 2012
NPI 1407114119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
5231 PENN AVE, Pittsburgh, PA 15224

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.

Counselor (Mental Health)
5231 PENN AVE
PITTSBURGH, PA 15224
Counselor (Mental Health)
5231 PENN AVE
PITTSBURGH, PA 15224
Specialist
5231 PENN AVE
PITTSBURGH, PA 15224
Counselor (Mental Health)
5231 PENN AVE
PITTSBURGH, PA 15224
Counselor (Mental Health)
5231 PENN AVE
PITTSBURGH, PA 15224
Registered Nurse
5231 PENN AVE, CHAMPION COMMONS BUILDING 2ND FLOOR
PITTSBURGH, PA 15224
Counselor
5231 PENN AVE, FLOOR 1
PITTSBURGH, PA 15224
Counselor (Mental Health)
5231 PENN AVE
PITTSBURGH, PA 15224

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 Nicole Petrusik's NPI number?

The NPI number for Nicole Petrusik is 1407114119. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Nicole Petrusik located?

Nicole Petrusik practices at 5231 Penn Ave, Pittsburgh, PA 15224. The listed phone number is (412) 518-7544.

What is Nicole Petrusik's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Nicole Petrusik was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.