DR. MICHAEL J PARRELLA PH.D. NPI 1699742577

NPI Information

  • NPI: 1699742577
  • Provider Name: DR. MICHAEL J PARRELLA, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 646 MAIN ST
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 473-4652

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NPI Details

DR. Michael J Parrella, PH.D. is a clinical neuropsychologist in Port Jefferson, NY. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Michael J Parrella, PH.D. NPI is 1699742577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

646 MAIN ST
PORT JEFFERSON, NY
ZIP 11777-235
Phone: (631) 473-4652
Fax: (631) 473-4652

The NPI 1699742577 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 12/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical9908NEW YORKNo
2103G00000XClinical Neuropsychologist9908NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V71412MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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