Linda Kay Petrilla, PH.D,

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY2508 Issued in FL

Practice address

2770 Indian River Blvd
Suite 324
Vero Beach, FL 32960-4299

Phone

(772) 778-8252

Fax

(772) 778-4652

NPI assigned

Mar 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1659403137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD",
            "address_2": "SUITE 324",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604299",
            "telephone_number": "772-778-8252",
            "fax_number": "772-778-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD",
            "address_2": "SUITE 324",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604299",
            "telephone_number": "772-778-8252",
            "fax_number": "772-778-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLA",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arley A. Peter, M.D.
• John Peter Petersen, M.D.
• Julia Peterson, M.S., CFY-SLP
• Leuna Petitval
• Fred J Petrilla Jr., PHD
• Claire Petrulak
• Margaret A Pfalzgraf, ARNP
• Miranda Pfautsch, DO
• Kelly Pfeiffer
• Maria Cecilia Pfund

• Psychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.