Shelly D'Amato LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHELLY D'AMATO LLC

Practice address

14 Pacio CT
Roseland, NJ 07068-1121

Phone

(201) 245-4014

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Shelly D'Amato, LCSWNPI 1144710054

Title

Owner

Phone

(201) 245-4014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly D'Amato, LCSW

  • Social Worker
  • Roseland, NJ
  • NPI 1144710054

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1972355287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PACIO CT",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681121",
            "telephone_number": "201-245-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PACIO CT",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681121",
            "telephone_number": "201-245-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY D'AMATO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-245-4014",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Scadutto
• George Schneider, M.D.
• Douglas Seiden, PH.D
• Lori Sernio
• Prachi Shah
• SHP V Roseland, LLC
• Sophia Adrineh Simonian, MS, RDN
• Brooke Michele Skolnick, D.M.D.
• Stephen Smith, MD
• Social Strides, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.

Verify at the official NPI Registry.