Active NPI
Brian Amorello, PH.D., LPC
- Psychologist
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00589000
- Practice address
- 20 Wilsey SQ
Ridgewood, NJ 07450-3793 - Phone
- (973) 767-9384
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00500500 | NJ | |
| Psychologist | 103T00000X | 35SI00589000 | NJ | Primary |
Addresses
Primary practice location
20 Wilsey SQ
Ridgewood, NJ 07450-3793
Mailing address
100 South Pkwy
Clifton, NJ 07014-1412
Phone (973) 767-9384
Other practice location 1
11 Dundar Rd
Springfield, NJ 07081-3553
Phone (973) 767-9384
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 Wilsey SQ
FL 1
Ridgewood, NJ 07450-3793
Phone (201) 409-0393
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00500500 | NJ | MD | Professional Counselor |
| 35SI00589000 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686
Interoperability endpoints
- brian.amorello@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Ridgewood, NJ
- NPI 1497170971
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447773544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH PKWY",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070141412",
"telephone_number": "973-767-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503793",
"telephone_number": "973-767-9384"
}
],
"practiceLocations": [
{
"address_1": "11 Dundar Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "NJ",
"postal_code": "070813553",
"country_code": "US",
"telephone_number": "973-767-9384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMORELLO",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00500500",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00589000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.