DR. JOANNA PETRIDES PSY.D.
NPI 1821496936
Psychologist in Mullica Hill, NJ

Active since December 05, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
700 MULLICA HILL RD, MULLICA HILL, NJ 08062(856) 508-1000 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2025, Jun 25, 2024, May 30, 2023 and 2 more (5 updates tracked since 2016).

About Dr. Joanna Petrides Psy.d. NPPES

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

DR. JOANNA PETRIDES PSY.D. (NPI 1821496936) is an individual psychologist in Mullica Hill, New Jersey, licensed in New Jersey (35SI00553000) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1821496936
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOANNA PETRIDESCredential: PSY.D.
Location Address700 MULLICA HILL RDMullica Hill, NJ 08062-4413
Mailing Address700 Mullica Hill RdMullica Hill, NJ 08062-4413
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 5, 2014
Last NPPES UpdateSeptember 8, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1821496936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NJ · 35SI00553000 Licensed in PA · PS017752
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 35SI00553000 (NJ), PS017752 (PA)

Other Identifiers 1

Medicaid0499056NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Joanna Petrides Psy.d. 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 ID7911203567
PECOS Enrollment IDI20160309000280
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

General Acute Care Hospital
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Nurse Anesthetist, Certified Registered
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Pharmacist
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Pediatrics
700 MULLICA HILL RD
MULLICA HILL, NJ 08062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821496936, enumerated as an "individual" on December 05, 2014.

The provider is located at 700 MULLICA HILL RD MULLICA HILL, NJ 08062 and the phone number is (856) 508-1000.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.