Individual provider Active NPI

Michael Domenic Farreny, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlantic City, NJ
National Provider Identifier
1760038970
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00940100 Issued in NJ
Practice address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone
(609) 572-8510
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00940100 NJ Primary

Addresses

Primary practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Mailing address

304 Wayne Dr
Cinnaminson, NJ 08077-4345
Phone (609) 707-3292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.farreny@atlanticare.org Direct AtlantiCare Behavioral Health, Inc.

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001081 NJ Practitioner - Nurse Practitioner 9032542725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1601 Tilton Rd
Northfield, NJ 08225-1877
Phone (609) 569-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc CurrentSince Jan 29, 2020 Accepting new patients
Atlanticare Physician Group PA CurrentSince Oct 15, 2019 Accepting new patients
Atlanticare Behavioral Health, Inc. Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Oct 15, 2019 Accepting new patients

Locations

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1760038970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAYNE DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080774345",
            "telephone_number": "609-707-3292",
            "fax_number": "609-561-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PACIFIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016713",
            "telephone_number": "609-572-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRENY",
        "first_name": "MICHAEL",
        "middle_name": "DOMENIC",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00940100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.farreny@atlanticare.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "AtlantiCare Behavioral Health, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1925 Pacific Ave",
            "city": "Atlantic City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "084016713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.