Individual provider Active NPI

Merrilea Brunell, PH.D.

  • Group Psychotherapy Psychologist
  • Florham Park, NJ
National Provider Identifier
1194871855
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
35S100150800 Issued in NJ
Practice address
205 Ridgedale Ave
Florham Park, NJ 07932-1349
Phone
(973) 966-0967
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100150800 NJ
Clinical Child & Adolescent Psychologist 103TC2200X 35S100150800 NJ
Group Psychotherapy Psychologist 103TP2701X 35S100150800 NJ Primary

Addresses

Primary practice location

205 Ridgedale Ave
Florham Park, NJ 07932-1349

Mailing address

205 Ridgedale Ave
Florham Park, NJ 07932-1349
Phone (973) 966-0967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001155 NJ Practitioner - Clinical Psychologist 1355384199 Practice locations: Mendham, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 Walsingham Rd
Mendham, NJ 07945-1845
Phone (973) 966-0967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100150800NJMDGroup Psychotherapy Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194871855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-966-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-966-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELL",
        "first_name": "MERRILEA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100150800",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35S100150800",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NJ",
            "license": "35S100150800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.