ANTONIO PETRUZZELLA, PHD, LLC
NPI 1801604996
Psychologist - Clinical in Fort Lauderdale, FL

Q: What is Antonio Petruzzella, Phd, LLC's NPI number?

The NPI number for Antonio Petruzzella, Phd, LLC is 1801604996. It was assigned to this organization in the NPPES registry on December 21, 2024. The provider is doing business as Petruzzella Psychology.

Q: What is Antonio Petruzzella, Phd, LLC's specialty?

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

Active since December 21, 2024

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: August 16, 2026.

Record update history: Sep 6, 2025, Dec 21, 2024 (2 updates tracked since 2024).

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About Antonio Petruzzella, Phd, Llc NPPES

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

ANTONIO PETRUZZELLA, PHD, LLC (NPI 1801604996), doing business as Petruzzella Psychology, is a healthcare organization registered as a clinical in Fort Lauderdale, Florida and active in the NPI registry since December 2024. The organization lists Antonio Petruzzella, Owner, as its authorized official.

NPPES Registry Identity

NPI1801604996

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameANTONIO PETRUZZELLA, PHD, LLC

Location Address805 E BROWARD BLVD STE 301Fort Lauderdale, FL 33301-2046

Mailing Address805 E Broward Blvd Ste 301Fort Lauderdale, FL 33301-2046 · (954) 300-2195

Phone(954) 300-2195

Organization SubpartNo

Authorized OfficialAntonio PetruzzellaOwner · (954) 300-2195

Enumeration DateDecember 21, 2024

Last NPPES UpdateSeptember 6, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2025

✔ NPI 1801604996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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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Other Names 1

Doing Business AsPetruzzella Psychology

Other Identifiers 1

Other16222832Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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