Kathleen A Petruska, MD
Psychiatry & Neurology, Psychiatry in Brookline, Massachusetts
1306893045- Practice location
- 1 Brookline Pl, Brookline, MA 02445-7296
- Phone
- 617-784-5949
- Fax
- —
- Last updated
- December 3, 2020
Kathleen A Petruska is a Psychiatry & Neurology, Psychiatry based in Brookline, MA. Kathleen A Petruska practices in Brookline, MA and has the professional credentials of MD. The NPI Number for Kathleen A Petruska is 1306893045 and holds a License No. 205138 (MA). The current practice location address for Kathleen A Petruska is 1 Brookline Pl, Brookline, MA 02445-7296 and can be reached out via phone at 617-784-5949.
Provider Profile Details
- NPI Number
- 1306893045
- Provider Name
- Kathleen A Petruska
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Brookline Pl, Brookline, MA 02445-7296
- Phone Number
- 617-784-5949
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 28, 2006
- Last Update Date
- December 3, 2020
- Certification Date
- December 3, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Brookline Pl
Brookline, MA 02445-7296 - City
- Brookline
- State
- Massachusetts
- Zip
- 02445-7296
- Phone Number
- 617-784-5949
Provider Business Mailing Address Details
- Address
- 12 Ashley RD
Southborough, MA 01772-1816 - City
- Southborough
- State
- MA
- Zip
- 01772-1816
- Phone Number
- 617-784-5949
License Information
- License Number
- 205138
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathleen A Petruska, MD?
The NPI number of Kathleen A Petruska, MD is 1306893045. It was assigned on May 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Kathleen A Petruska, MD?
Kathleen A Petruska, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 205138.
Where does Kathleen A Petruska, MD practice?
The practice location is 1 Brookline Pl, Brookline, MA 02445-7296. The office can be reached at 617-784-5949 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306893045 directly on the NPPES registry website.