Joanna Petrides, PSY.D.
NPI 1821496936ActiveIndividual· Psychologist· Mullica Hill, NJ
Psychologist (PSY.D.) in Mullica Hill, New Jersey, licensed in NJ and PA, with an NPI issued in December 2014. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1821496936 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Dec 5, 2014 |
| Last updated in NPPES | Sep 8, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 35SI00553000 | NJ |
| Psychologist | 103T00000X | PS017752 | PA |
| Psychologist, Clinical | 103TC0700X | 35SI00553000 | NJ |
| Psychologist, Clinical | 103TC0700X | PS017752 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NJ) |
|---|
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