Individual provider Active NPI

Aniella Lincoln Perold, PHD

  • Psychologist
  • Montclair, NJ
National Provider Identifier
1891463477
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00776900 Issued in NJ
Practice address
211 Bellevue Ave Ste 202
Montclair, NJ 07043-1898
Phone
(646) 484-9557
NPI assigned
Aug 31, 2021
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00776900 NJ Primary

Addresses

Primary practice location

211 Bellevue Ave Ste 202
Montclair, NJ 07043-1898

Mailing address

211 Bellevue Ave Ste 202
Montclair, NJ 07043-1898
Phone (646) 484-9557

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
027011NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
National Institute for the Psychotherapies Training Institute PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1891463477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BELLEVUE AVE STE 202",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431898",
            "telephone_number": "646-484-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BELLEVUE AVE STE 202",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431898",
            "telephone_number": "646-484-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROLD",
        "first_name": "ANIELLA",
        "middle_name": "LINCOLN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00776900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.