NPIMap

Individual provider Active NPI

Jon Jason Marrelli, PSY. D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1689845893
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017437 Issued in NY
Practice address
514 49TH St
LMC Sunset Terrace FHC
Brooklyn, NY 11220-2010
Phone
(718) 854-1851
Fax
(718) 437-5239
NPI assigned
Mar 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017437 NY Primary

Addresses

Primary practice location

514 49TH St
LMC Sunset Terrace FHC
Brooklyn, NY 11220-2010

Mailing address

5800 3Rd Ave
Lutheran Medical Center Managed Care Department
Brooklyn, NY 11220-3702
Phone (718) 630-7477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmarrelli133008@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814000025 NY Practitioner - Clinical Psychologist 6406073519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NYU Langone HospitalsGroup PAC ID 4981515699, 245 clinicians

Practice addresses (Care Compare)

301 E 17TH St
New York, NY 10003-3804
Phone (212) 598-2454

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017437NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Jan 14, 2017 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 14, 2017 Accepting new patients
Pathways to Potential Psychology PLLC Clinical CurrentSince Aug 19, 2025 Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients

Locations

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

514 49th St
Brooklyn, NY 11220
Phone (718) 431-2600

275 9th St
Unit 111
Brooklyn, NY 11215
Phone (646) 801-5711

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1689845893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 3RD AVE",
            "address_2": "LUTHERAN MEDICAL CENTER MANAGED CARE DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203702",
            "telephone_number": "718-630-7477",
            "fax_number": "718-630-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 49TH ST",
            "address_2": "LMC SUNSET TERRACE FHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202010",
            "telephone_number": "718-854-1851",
            "fax_number": "718-437-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRELLI",
        "first_name": "JON",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmarrelli133008@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "514 49th St",
            "address_2": "LMC Sunset Terrace FHC",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112202010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.