Active NPI
Pathways to Potential Psychology PLLC
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1871471375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- PATHWAYS TO POTENTIAL PSYCHOLOGY PLLC
- Practice address
- 275 9TH St Unit 111
Brooklyn, NY 11215-4457 - Phone
- (646) 801-5711
- NPI assigned
- Aug 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Marrelli, PSY.D
- Title
- Director
- Phone
- (646) 801-5711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
275 9TH St Unit 111
Brooklyn, NY 11215-4457
Mailing address
275 9TH St Unit 111
Brooklyn, NY 11215-4457
Phone (646) 801-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
275 9th St
Unit 111
Brooklyn, NY 11215
Phone (646) 801-5711
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1689845893
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1629740550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1871471375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 9TH ST UNIT 111",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154457",
"telephone_number": "646-801-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 9TH ST UNIT 111",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154457",
"telephone_number": "646-801-5711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS TO POTENTIAL PSYCHOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-22",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MARRELLI",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "646-801-5711",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.