Fred J Petrilla Jr PHD & Associates PA
NPI 1003190059ActiveOrganization· Psychologist, Clinical· Vero Beach, FL
Psychologist, Clinical in Vero Beach, Florida, registered in NPPES in October 2011. The authorized official on file is Fred J. Petrilla, PHD, President.
Overview
| NPI | 1003190059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2011 |
| Last updated in NPPES | Nov 17, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY0002507 | FL |
| Psychologist, School | 103TS0200X | SS33 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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