DR. ROBERT PETER PETRUZZI PH.D. NPI 1417926197

NPI Information

  • NPI: 1417926197
  • Provider Name: DR. ROBERT PETER PETRUZZI, PH.D.
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1489 BALTIMORE PIKE
    BLDG. 200, SUITE 250
    SPRINGFIELD, PA
    ZIP 19064
  • Phone: (610) 544-2110

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NPI Details

DR. Robert Peter Petruzzi, PH.D. is an intellectual and developmental disabilities in Springfield, PA with 42 years of experience. DR. Robert Peter Petruzzi, PH.D. NPI is 1417926197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1489 BALTIMORE PIKE
BLDG. 200, SUITE 250
SPRINGFIELD, PA
ZIP 19064-958
Phone: (610) 544-2110
Fax: (610) 604-9510

The NPI 1417926197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 3/16/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralPS003470-LPENNSYLVANIANo
2103TC1900XPsychologistCounselingPS003470-LPENNSYLVANIANo
3103TF0000XPsychologistFamilyPS003470-LPENNSYLVANIANo
4103TM1800XPsychologistIntellectual and Developmental DisabilitiesPS003470-LPENNSYLVANIAYes
5103T00000XPsychologistPS003470-LPENNSYLVANIANo
6103TP2701XPsychologistGroup PsychotherapyPS003470-LPENNSYLVANIANo
7103TS0200XPsychologistSchoolPS003470-LPENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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