DR. MARISSA M PETRALIA (PH.D.) – Clinical Psychologist, NPI 1841504966

DR. MARISSA M PETRALIA (PH.D.) is a healthcare provider. based in Naples, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY 8173 (FL). The NPI Number for DR. MARISSA M PETRALIA (PH.D.) is 1841504966

Main info

Female
17 Years Of Experience
Name
DR. MARISSA M PETRALIA (PH.D.)
NPI
1841504966
Phone
(239) 234-6333
Address
830 ANCHOR RODE DR
Enumeration Date
30 July 2010
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392346333
Graduation Year
2009 (17 years ago)
PAC ID
9931398138
Group Practice PAC ID
1850614454
Professional Enrollment ID
I20150107002310
Address ID
FL341032739NA830XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,618 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. MARISSA M PETRALIA (PH.D.)

  • 830 ANCHOR RODE DR

    NAPLES, FL 341032739

    Phone: (239) 234-6333

    Fax: (239) 234-6413

    Type: Mailing

  • 11300 4TH ST N

    SUITE 115

    ST PETERSBURG, FL 337162918

    Phone: (727) 577-7500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150107002310IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour78927$0
View full utilization report →

Insurance plans in this area (ZIP 34103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850614454View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical PsychologistMN

Reviews

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Frequently asked questions

Does DR. MARISSA M PETRALIA (PH.D.) have a public NPI I can cite?
Public records show DR. MARISSA M PETRALIA (PH.D.) under NPI 1841504966.
Quick check: is DR. MARISSA M PETRALIA (PH.D.) active?
Public NPPES data shows DR. MARISSA M PETRALIA (PH.D.) with an active NPI status right now.
Which specialty label fits DR. MARISSA M PETRALIA (PH.D.)?
NPPES ties DR. MARISSA M PETRALIA (PH.D.) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARISSA M PETRALIA (PH.D.)?
The directory associates DR. MARISSA M PETRALIA (PH.D.) with Naples, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. MARISSA M PETRALIA (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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