DR. FRED J PETRILLA JR. PHD
NPI 1881671386
Psychologist - Clinical in Vero Beach, FL
About Dr. Fred J Petrilla Jr. Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FRED J PETRILLA JR. PHD (NPI 1881671386) is an individual clinical provider in Vero Beach, Florida, licensed in Florida (PY0002507) and active in the NPI registry since December 2005. He has opted out of Medicare through January 1, 2027.
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Fred J Petrilla Jr. Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fred Petrilla's NPI number?
The NPI number for Fred Petrilla is 1881671386. It was assigned to this individual provider in the NPPES registry on December 27, 2005.
Where is Fred Petrilla located?
Fred Petrilla practices at 1903 25th St, Vero Beach, FL 32960. The listed phone number is (772) 562-0777.
What is Fred Petrilla's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Fred Petrilla enrolled in Medicare?
No. Fred Petrilla has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Fred Petrilla was last updated on December 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.