DR. FRED J PETRILLA JR. PHD
NPI 1881671386
Psychologist - Clinical in Vero Beach, FL

Active since December 27, 2005Opted out of Medicare · through Jan 1, 2027
1903 25TH ST, VERO BEACH, FL 32960(772) 562-0777(772) 770-3285 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1881671386
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. FRED J PETRILLA JR.Credential: PHD
Location Address1903 25TH STVero Beach, FL 32960-3366
Mailing Address1903 25th St, Po Box 789Vero Beach, FL 32960-3366 · (772) 562-0777 · Fax (772) 770-3285
Fax(772) 770-3285
Sole ProprietorYes
Enumeration DateDecember 27, 2005
Last NPPES UpdateDecember 8, 2011
NPI 1881671386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY0002507
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.

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License SS33 (FL)
1903 25TH ST, Vero Beach, FL 32960

Other Identifiers 2

Medicare ID-Type Unspecified75093
Medicare PINFN158ZFL

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.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1903 25TH ST
VERO BEACH, FL 32960

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.