Richard Anthony Petroski, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS008302L Issued in PA

Practice address

111 Flintstone Dr
Hollidaysburg, PA 16648-9789

Phone

(814) 696-9611

Fax

(814) 696-9611

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881778082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FLINTSTONE DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489789",
            "telephone_number": "814-696-9611",
            "fax_number": "814-696-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FLINTSTONE DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489789",
            "telephone_number": "814-696-9611",
            "fax_number": "814-696-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKI",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008302L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Patterson, CRNA
• Randal Paul Patterson, DMD
• Franz Rudolf Pecka, LMT
• Wendy R Pehonsky, DC
• Penn Neuromuscular Diagnostics, LLC (PNDx)
• Daniel David Picarella, ATC/LAT
• Mary Pine
• Joan A Plunkett, P.T.A.
• Patrick Pollock
• Eugene Polmueller, M.D.

• Psychologist in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.