Marisa Petruccelli, PSY.D.
NPI 1558667717 · Clinical Psychologist · Worcester, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Petruccelli, PSY.D. is a Clinical Psychologist provider in Worcester, MA (NPI 1558667717).
Provider details
- NPI number
- 1558667717
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
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
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2011-02-07
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Frequently asked questions
- What is Marisa Petruccelli's NPI number?
- Marisa Petruccelli's National Provider Identifier (NPI) is 1558667717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Petruccelli's specialty?
- Marisa Petruccelli is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Marisa Petruccelli located?
- Marisa Petruccelli's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Marisa Petruccelli's phone number?
- The practice phone number listed in the NPPES registry for Marisa Petruccelli is (774) 442-3028.
- Does Marisa Petruccelli accept Medicare?
- Marisa Petruccelli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Petruccelli's NPI active?
- Yes — Marisa Petruccelli's NPI (1558667717) is active in the NPPES registry as of the last update on 2023-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.