Premier Psychology, PLLC
NPI 1023417433ActiveOrganization· Psychologist· Naples, FL
Psychologist in Naples, Florida, registered in NPPES in August 2014. The authorized official on file is Marissa Marie Petralia, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023417433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2014 |
| Last updated in NPPES | Sep 10, 2021 |
| Certified by provider | Sep 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY8173 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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