Individual provider Active NPI

Alfred A. Borrelli, M.A.

  • Mental Health Counselor
  • Saddle Brook, NJ
National Provider Identifier
1790899516
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00054600 Issued in NJ
Practice address
250 Pehle Ave
Suite 121
Saddle Brook, NJ 07663-5830
Phone
(201) 947-7353
Fax
(201) 947-7353
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00054600 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37PC00054600 NJ
Mental Health Counselor 101YM0800X 001087 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 001087 NY

Addresses

Primary practice location

250 Pehle Ave
Suite 121
Saddle Brook, NJ 07663-5830

Mailing address

2000 Linwood Ave
Apt. 17 K
Fort Lee, NJ 07024-3086
Phone (201) 947-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00054600NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1790899516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LINWOOD AVE",
            "address_2": "APT. 17 K",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243086",
            "telephone_number": "201-947-7353",
            "fax_number": "201-947-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PEHLE AVE",
            "address_2": "SUITE 121",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635830",
            "telephone_number": "201-947-7353",
            "fax_number": "201-947-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "ALFRED",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00054600",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37PC00054600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001087",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "001087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.