KATHLEEN A PETRUSKA


Address: 1 Brookline Pl, Brookline, MA 02445-7296
Phone: 6177845949

KATHLEEN A PETRUSKA (NPI# 1306893045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306893045
Entity Type Individual
Full Name KATHLEEN A PETRUSKA
Credential M.D.
Practice Address 1 Brookline Pl
Brookline
MA 02445-7296
Mailing Address 12 Ashley Rd
Southborough
MA 01772-1816
Practice Telephone 6177845949
Mailing Telephone (617) 784-5949
Enumeration Date 2006-05-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
205138 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
157 Union St, Marlborough, MA 017521228 5088566580 5084865480

Office Location

Street Address 1 BROOKLINE PL
City BROOKLINE
State MA
Zip Code 02445-7296

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114925211 Thomas D Shipp Obstetrics & Gynecology 1 Brookline Pl, Suite 506, Brookline, MA 02445-7224 2005-07-12
1477928125 Bmfm LLC Obstetrics & Gynecology 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 2015-12-07
1912396870 Leonard B Miller Md PC Specialist 1 Brookline Pl, Suite 427, Brookline, MA 02445-7224 2015-01-15
1346641503 Frank Twarog Md Phd and Curtis Moody Md LLP Allergy & Immunology 1 Brookline Pl, Ste 424, Brookline, MA 02445-7224 2014-09-08
1700213253 Lauren M Boccuzzi Nurse Practitioner 1 Brookline Pl, Suite 327, Brookline, MA 02445-7224 2013-09-30
1891034492 Boston Maternal-fetal Medicine, LLC Clinic/Center 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 2013-02-04
1346588456 Jacqueline Faye Croopnick, LLC Obstetrics & Gynecology 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 2013-01-24
1518205632 Lafornara Inc Obstetrics & Gynecology 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 2013-01-24
1225383755 Margaret Mirch Dyer Nurse Practitioner 1 Brookline Pl, Suite 327, Brookline, MA 02445 2012-07-20
1730455494 Renee Rotman Nurse Practitioner 1 Brookline Pl, Suite 305, Brookline, MA 02445-7224 2012-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316582117 Isha Gujrathi Student in an Organized Health Care Education/Training Program Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 2019-11-15
1518432673 Lois Lange Social Worker 349 Clark Road, Brookline, MA 02445 2018-10-04
1548775190 Neurodevelopmental Educational Services, Pllc Social Worker 26 Edgehill Road, Brookline, MA 02445 2017-12-05
1942654231 Elena Carolina Itriago Araujo Student in an Organized Health Care Education/Training Program 358 Tappan St, Brookline, MA 02445 2016-04-22
1477920098 Kayoko Obara, Dmd PC Clinic/Center 77 Pond Ave., #103, Brookline, MA 02445 2015-08-31
1700203668 Sophie-charlotte Hofferberth Student in an Organized Health Care Education/Training Program 93 Evans Road, Brookline, MA 02445 2014-03-27
1639503535 Kieran Evans Social Worker 43 Garrison Road, Brookline, MA 02445 2013-08-27
1437412467 Joel Simons Psychologist 1683 Beacon St, Brookline, MA 02445 2012-06-25
1710252861 Lin Shen Internal Medicine 375 Boylston St, Brookline, MA 02445 2012-03-21
1992074645 Christine Beatriz Arismendi Counselor 16 University Road Apartment 1, Brookline, MA 02445 2011-12-27
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770055030 Joseph Yeretsian, PC Psychiatry & Neurology 1309 Beacon St Ste 300, Brookline, MA 02446-5252 2018-12-27
1205290228 William-bernard Reid-varley Psychiatry & Neurology 173 Cypress St, Brookline, MA 02445-6707 2016-04-06
1891180030 Millman Psychiatry LLC Psychiatry & Neurology 156 Mason Ter, Brookline, MA 02446-2772 2015-04-04
1699169177 Nerissa Patricia Fuhrmann Psychiatry & Neurology 1101 Beacon St Ste 7w6, Brookline, MA 02446-5587 2015-03-24
1528406196 Omar Haque Psychiatry & Neurology 1101 Beacon St Ste 1w, Brookline, MA 02446-5587 2013-06-05
1295092989 Jamie Franzen Psychiatry & Neurology 1093 Brookline Ave, Suite 201, Brookline, MA 02446 2012-04-18
1457675332 Anthony Thomas Marfeo Psychiatry & Neurology 1093 Beacon St Ste 201, Brookline, MA 02446-5623 2010-03-20
1306035563 Don R Lipsitt Psychiatry & Neurology 15 Griggs Rd, Brookline, MA 02446-4782 2007-10-23
1710181052 Paula Martin Psychiatry & Neurology 1691 Beacon St # 101, Brookline, MA 02445-4400 2007-06-12
1548486459 Malkah Tolpin Notman Psychiatry & Neurology 54 Clark Rd, Brookline, MA 02445 2007-04-18
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Competitor

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City BROOKLINE
Zip Code 02445

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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