Active NPI
John S Pellitteri, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1659670768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014367
- Practice address
- 251 E 5TH St
Brooklyn, NY 11218-2403 - Phone
- (718) 259-9531
- NPI assigned
- Mar 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014367 | NY | Primary |
Addresses
Primary practice location
251 E 5TH St
Brooklyn, NY 11218-2403
Mailing address
8872 - 16 Ave.
Brooklyn, NY 11214
Phone (718) 259-9531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151014002243 | NY | Practitioner - Clinical Psychologist | 4183933138 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8872 16TH Ave
Brooklyn, NY 11214-5804
Phone (718) 259-9531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014367 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1659670768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8872 - 16 AVE.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "718-259-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E 5TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182403",
"telephone_number": "718-259-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLITTERI",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.