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Dr. Kelly Ann Mercorella , PhD

Behavior Analyst β€’ Bloomfield, NJ

Active NPI 1447771092 Individual Practitioner Female Practitioner
Practice location in NPPES

554 Bloomfield Ave Ste 401
Bloomfield, NJ 070033307

Call 9737713300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

554 Bloomfield Ave Ste 401

Bloomfield, NJ 070033307

Telephone 9737713300
Organization at the Same NPPES Address or Phone
Asun Star Community Outreach Facility NPI 1053566125

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Piermont, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomfield and New Jersey

21 active clinicians are listed under Behavior Analyst with a practice address in Bloomfield, NJ (3,769 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomfield

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NY 1-16-24778

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES NY 1032684161

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Secondary Practice Locations

561 Route 9w

Piermont, NY 109681116

Phone: 8456801400

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location January 13, 2021

Registered at 554 BLOOMFIELD AVE STE 401, BLOOMFIELD, NJ 070033307 (Tel: 9737713300)

βœ…
NPI Profile Active July 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 11, 2017

Registered at 561 ROUTE 9W, PIERMONT, NY 109681116 (Tel: (845) 680-1400)

πŸ“
Updated Business Mailing Address July 11, 2017

Registered at 561 ROUTE 9W, PIERMONT, NY 109681116 (Tel: 8456801400)

πŸ‘€
Provider Name / Credentials Updated July 11, 2017

Recorded as KELLY MERCORELLA, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2017

Specialist (license number reported to NPPES: NY 1032684161)

βœ…
NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 05, 2017

Registered at 561 ROUTE 9W, PIERMONT, NY 109681116 (Tel: (845) 680-1400)

πŸ“
Business Mailing Address (Initial Record) July 05, 2017

Registered at 561 ROUTE 9W, PIERMONT, NY 109681116 (Tel: 8456801400)

πŸ‘€
Provider Name / Credentials (Initial Record) July 05, 2017

Recorded as KELLY MERCORELLA, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Early Intervention Provider Agency (license number reported to NPPES: NY 1032684161)

🟒
Initial NPI Registration & Enumeration July 05, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447771092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

561 Route 9w

Piermont, NY 109681116

Phone: 8456801400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.