Mary Margaret Petrie, M.S.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

739587 Issued in IN

Practice address

3380 E Main St
Danville, IN 46122-9089

Phone

(317) 718-0089

Fax

(317) 718-0097

NPI assigned

Apr 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1760709646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 PAMELA DR",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317027",
            "telephone_number": "317-736-8551",
            "fax_number": "317-736-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229089",
            "telephone_number": "317-718-0089",
            "fax_number": "317-718-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "739587",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "739587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Health Chiropractic, P.C.
• Peak Health Medical Center
• Elizabeth L Perkins, PA
• Jacqulen Marie Perkins
• Lisa M Peterson, OT
• Adrienne N Pfaffenberger, DPT
• Roger Lee Phillips, D.C.
• Raymond Gerard Piedmonte, M.D.
• Jennifer Marie Pierle, RN, MSN, FNP-C
• David Polizzi, PH.D

• Behavior Analyst in Danville, IN
• Providers in Danville, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.