Nicole Petzolt, PSY.D.
NPI 1063836500 · Clinical Psychologist · Brooklyn, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Petzolt, PSY.D. is a Clinical Psychologist provider in Brooklyn, NY (NPI 1063836500).
Provider details
- NPI number
- 1063836500
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 020428-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 300 Garden City PlzSuite 400Garden City, NY 11530-3302Phone: (516) 248-0006
Registry dates
- Enumerated
- 2014-02-04
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Frequently asked questions
- What is Nicole Petzolt's NPI number?
- Nicole Petzolt's National Provider Identifier (NPI) is 1063836500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Petzolt's specialty?
- Nicole Petzolt is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Nicole Petzolt located?
- Nicole Petzolt's practice location on file with NPPES is 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245.
- What is Nicole Petzolt's phone number?
- The practice phone number listed in the NPPES registry for Nicole Petzolt is (718) 854-8370.
- Does Nicole Petzolt accept Medicare?
- Nicole Petzolt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Petzolt's NPI active?
- Yes — Nicole Petzolt's NPI (1063836500) is active in the NPPES registry as of the last update on 2021-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.