Premier Psychology, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8173 Issued in FL

Legal business name

PREMIER PSYCHOLOGY, PLLC

Practice address

830 Anchor Rode Dr
Naples, FL 34103-2739

Phone

(239) 234-6333

Fax

(239) 234-6413

NPI assigned

Aug 21, 2014

Last updated

Sep 10, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marissa Marie Petralia, PH.D.NPI 1841504966

Title

President

Phone

(239) 234-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa M Petralia, PH.D.

  • Clinical Psychologist
  • Naples, FL
  • NPI 1841504966
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Carley, LDN, LMHC

  • Mental Health Counselor
  • Naples, FL
  • NPI 1225391394
  Medicare reassignment Care Compare group NPD
• Cristey Iannone, LICSW

  • Clinical Social Worker
  • Naples, FL
  • NPI 1174348205
  Medicare reassignment Care Compare group NPD
• Mary Elizabeth Quick, MA, LMHC

  • Mental Health Counselor
  • Naples, FL
  • NPI 1861148975
  Medicare reassignment Care Compare group NPD
• Daniella Winge, LMHC

  • Mental Health Counselor
  • Naples, FL
  • NPI 1376373308
  Medicare reassignment Care Compare group NPD
• Christa Lee Suerken, PSY.D., L.P.

  • Clinical Psychologist
  • Wayzata, MN
  • NPI 1902975626

  FL

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1023417433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ANCHOR RODE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032739",
            "telephone_number": "239-234-6333",
            "fax_number": "239-234-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ANCHOR RODE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032739",
            "telephone_number": "239-234-6333",
            "fax_number": "239-234-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "PETRALIA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-234-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Concierge, LLC
• Premier Medical Staffing LLC
• Premier Naples Chiropractic, PA
• Premier Private Home Care Corp
• Premier Private Home Care Corp
• Premier Pulmonary & Sleep LLC
• Premiere Healthcare and Transportation Services
• Presley Physical Rehabilitation PLLC
• Press Psychology, LLC (Press Psychology)
• Andrea Claire Press, PSY.D.

• Psychologist in Naples, FL
• Providers in Naples, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.