Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Petzolt, PSYD

Individual provider Psychologist · NPI 1063836500

Dr. Nicole Petzolt, PSYD is a Psychologist in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3512 Quentin Rd Ste 110
Brooklyn, NY 11234-4245
Phone: (718) 854-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Garden City Plz, Garden City, NY 11530-3302 — (516) 248-0006

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 020428-1 (NY)
Psychologist Taxonomy 103T00000X · Licence 020428-1 (NY)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 020428-1 (NY)

Record details

NPI number1063836500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 4, 2014
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021

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