Active NPIIndividual providerSole proprietor

Dr. Kelly A Mercorella, PHD

Behavior Analyst in Bloomfield, New Jersey

NPI Number1447771092
Practice location
554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307
Fax
—
Last updated
July 21, 2022

Kelly Ann Mercorella is a Behavior Analyst based in Bloomfield, NJ. Kelly Ann Mercorella practices in Bloomfield, NJ and has the professional credentials of PHD. The NPI Number for Kelly Ann Mercorella is 1447771092 and holds a License No. 1032684161 (NY). The current practice location address for Kelly Ann Mercorella is 554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307 and can be reached out via phone at 973-771-3300.

Provider Profile Details

NPI Number
1447771092
Provider Name
Kelly Ann Mercorella
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307
Phone Number
973-771-3300
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Other Names
Dr. Kelly Ann Dillon, PHD (Other Name)
Provider Enumeration Date
July 5, 2017
Last Update Date
July 21, 2022
Certification Date
January 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
554 Bloomfield Ave Ste 401
Bloomfield, NJ 07003-3307
Zip
07003-3307
Phone Number
973-771-3300
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
561 Route 9W
Piermont, NY 10968-1116
City
Piermont
State
NY
Zip
10968-1116
Phone Number
845-680-1400

License Information

License Number (1)
1032684161
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X
License Number (2)
1-16-24778
License State (2)
NY
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Kelly A Mercorella, PHD?

The NPI number of Dr. Kelly A Mercorella, PHD is 1447771092. It was assigned on July 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly A Mercorella, PHD?

Dr. Kelly A Mercorella, PHD is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number 1032684161.

Where does Dr. Kelly A Mercorella, PHD practice?

The practice location is 554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307. The office can be reached at 973-771-3300 (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 1447771092 directly on the NPPES registry website.

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