Joyce Petrosky, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP081808 Issued in ME

Practice address

175 Union St
Suite C
Bangor, ME 04401-6100

Phone

(207) 570-5585

Fax

(207) 433-1070

NPI assigned

Sep 16, 2006

Last updated

Feb 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearts-Ease Mental Health, LLC

  • Community/Behavioral Health Agency
  • Brewer, ME
  • NPI 1306169479
  NPD (past)
• New Life Mission

  dba Bangor Counseling Center

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1851432041
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1336245000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 UNION STREET",
            "address_2": "SUITE C",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-570-5585",
            "fax_number": "207-433-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 UNION ST",
            "address_2": "SUITE C",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016100",
            "telephone_number": "207-570-5585",
            "fax_number": "207-433-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "JOYCE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "AP081808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245690099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Perry, LCSW
• Marina Peskina, MD
• Peter C Cook, MD LLC
• Misha Peter, M.D
• Cynthia Michelle Peterson, LCSW
• Jessica Marie Petrycki Dalessio, LADC, CCS
• Nicholas Pettegrow
• Alexis Petterson, LCSW
• Sherry A Pfister, CRNA
• Stephen Pfister, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.