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

Individual provider Mental Health Counselor · NPI 1558667717

Marisa Petruccelli, PSYD is a Mental Health Counselor in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
Specialties on file
2
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 442-3028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 9673 (MA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1558667717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedFebruary 7, 2011
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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