Active NPI
Celeste Pietrusza, PH.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1124615034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024108
- Practice address
- 89 Fort Greene PL FL 2
Brooklyn, NY 11217-1203 - Phone
- (917) 773-7228
- NPI assigned
- Dec 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 024108 | NY | Primary |
Addresses
Primary practice location
89 Fort Greene PL FL 2
Brooklyn, NY 11217-1203
Mailing address
601 W 149TH St Apt 67
New York, NY 10031-3157
Phone (917) 773-7228
Other practice location 1
601 W 149th St Apt 67
New York, NY 10031-3157
Phone (917) 773-7228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 27, 2024 through Mar 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608940800000",
"number": "1124615034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 149TH ST APT 67",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100313157",
"telephone_number": "917-773-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 FORT GREENE PL FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171203",
"telephone_number": "917-773-7228"
}
],
"practiceLocations": [
{
"address_1": "601 W 149th St Apt 67",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100313157",
"country_code": "US",
"telephone_number": "917-773-7228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIETRUSZA",
"first_name": "CELESTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-26",
"last_updated": "2020-12-26",
"certification_date": "2020-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.