MATTHEW ALEXANDER PETRILLI (NPI# 1538567177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538567177 |
| Entity Type | Individual |
| Full Name | MATTHEW ALEXANDER PETRILLI |
| Credential | M.D. |
| Practice Address |
7925 Winchester Blvd Queens Village NY 11427-2128 |
| Mailing Address |
504 Wilborn Ave South Boston VA 24592-3120 |
| Practice Telephone | 7184647500 |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101267115 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
7925 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411724 | Raiyasari Bangaru | Psychiatry & Neurology | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2006-10-17 |
| 1518583400 | Derryck Nesbitt | Social Worker | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-06-17 |
| 1093344624 | Amritha Mangalat | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-06 |
| 1619506490 | Jacob Gohari | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-03 |
| 1013546092 | Fairooz Abida | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1144859125 | Mary Camille Palisoc | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1750922092 | Diona Ceniza | Art Therapist | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-10-07 |
| 1164983763 | Anthony Chih Duong | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1306307988 | Adam Bernstein | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326392721 | Elaina Caroline Klimchuck | Psychiatry & Neurology | 75-25 Winchester Blvd, Queens Village, NY 11427 | 2012-11-07 |
| 1497994081 | Alan Ira Stearns | Psychiatry & Neurology | 80-45 Winchester Blvd., Building 19 Creedmoor Atc, Queens Village, NY 11427 | 2009-02-05 |
| 1669506432 | Alicia Pingol Falcon | Psychiatry & Neurology | 80 45 Winchester Blvd, Queens Village, NY 11427 | 2007-03-15 |
| 1073652384 | Gadalla Makar | Psychiatry & Neurology | 21715 Peck Ave, Queens Village, NY 11427-1117 | 2007-02-05 |
| 1831275031 | Mihai Marcel Iordache | Psychiatry & Neurology | 8045 Winchester Blvd Bldg 73, Queens Village, NY 11427-2195 | 2006-10-31 |
| 1255411724 | Raiyasari Bangaru | Psychiatry & Neurology | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2006-10-17 |
| 1063529907 | Hemlata Dalvi | Psychiatry & Neurology | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-08-24 |
| 1790721710 | Joseph Clerisme | Psychiatry & Neurology | 20922 Hillside Ave, Queens Village, NY 11427-1715 | 2006-06-20 |
| 1396206009 | Kamal Albright | Psychiatry & Neurology | 79-25 Winchester Blvd, Queens Village, NY 11427 | 2019-03-26 |
| 1477951028 | Kim Hoang | Psychiatry & Neurology | 7925 Winchester Blvd Bldg 40, Queens Village, NY 11427-2128 | 2014-12-15 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.