DR. MARISSA M PETRALIA (NPI# 1841504966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841504966 |
Entity Type | Individual |
Full Name | DR. MARISSA M PETRALIA |
Credential | PH.D. |
Practice Address |
11300 4th St N Suite 115 St Petersburg FL 33716-2918 |
Practice Telephone | 7275777500 |
Mailing Telephone | 7275777500 |
Enumeration Date | 2010-07-30 |
Last Update Date | 2016-04-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 8173 | FL | Behavioral Health & Social Service Providers |
Street Address |
11300 4TH ST N SUITE 115 |
City | ST PETERSBURG |
State | FL |
Zip Code | 33716-2918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992257240 | Gateway Psychological Services, LLC | Psychologist | 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 | 2016-11-02 |
1225499809 | Jason P Hurley Dc LLC | Chiropractor | 11300 4th St N, Ste 140, St Petersburg, FL 33716 | 2016-03-10 |
1023417433 | Premier Psychology, Pllc | Psychologist | 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 | 2014-08-21 |
1437431509 | Michael Patrick Missory | Psychologist | 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 | 2011-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
Find all providers in zip 33716 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902390438 | Christina B. Stabler, Pllc | Psychologist | 1507 4th St N, St Petersburg, FL 33704-4411 | 2018-06-18 |
1942793260 | Clearpoint Psychology, LLC | Psychologist | 2201 Central Ave Ste 300, St Petersburg, FL 33713-8844 | 2018-06-11 |
1144760091 | Nicole Archer | Psychologist | 163 5th Ave Ne, St Petersburg, FL 33701-3015 | 2017-02-26 |
1740730696 | Ariana Wittgenstein | Psychologist | 7901 4th St N Ste 322, St Petersburg, FL 33702-4313 | 2016-10-04 |
1629483698 | Nicole Agresto | Psychologist | 2150 49th St N Ste E, St Petersburg, FL 33710-5237 | 2014-06-27 |
1346535135 | Stephanie Tabitha Cojocaru | Psychologist | 233 3rd St N Ste 101, St Petersburg, FL 33701-3818 | 2011-06-09 |
1780812669 | Joseph D Carella | Psychologist | 5500 Dr Martin Luther King St N, St Petersburg, FL 33703-1204 | 2009-06-30 |
1417104225 | Marissa Alexis Feldman | Psychologist | 880 6th St S Ste 420, St Petersburg, FL 33701-4825 | 2008-08-22 |
1437316239 | David S Cubito Psyd Plc | Psychologist | 5565 Dr Mlk Jr Street North, St Petersburg, FL 33703 | 2008-05-20 |
1750435293 | Claudia J Ressel-hodan | Psychologist | 3745 5th Ave N, St Petersburg, FL 33713-7519 | 2007-01-22 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33716 |
Please comment or provide details below to improve the information on DR. MARISSA M PETRALIA.
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.