POSITIVE STATE PSYCHOLOGICAL & BEHAVIORAL SERVICES, LLC
NPI 1194447599
Community/Behavioral Health in Pitman, NJ

Q: What is Positive State Psychological & Behavioral Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 13, 2022

140 S BROADWAY STE 7, PITMAN, NJ 08071(844) 365-7676 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Positive State Psychological & Behavioral Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POSITIVE STATE PSYCHOLOGICAL & BEHAVIORAL SERVICES, LLC (NPI 1194447599) is a healthcare organization registered as a community/behavioral health in Pitman, New Jersey and active in the NPI registry since September 2022. The organization lists Michelle Petrongolo, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1194447599

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePOSITIVE STATE PSYCHOLOGICAL & BEHAVIORAL SERVICES, LLC

Location Address140 S BROADWAY STE 7Pitman, NJ 08071-2235

Mailing Address140 S Broadway Ste 7Pitman, NJ 08071-2235 · (844) 365-7676

Phone(844) 365-7676

Organization SubpartNo

Authorized OfficialMichelle PetrongoloPsychologist · (844) 365-7676

Enumeration DateSeptember 13, 2022

NPPES CertifiedSeptember 13, 2022

✔ NPI 1194447599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

140 S BROADWAY STE 7, Pitman, NJ 08071

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Positive State Psychological & Behavioral Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Positive State Psychological & Behavioral Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Petrongolo, PSY.D., BCBA

Clinical Psychologist

NPI 1447500574

123 EGG HARBOR RD STE 302
Sewell, NJ 08080

(856) 278-6095

✔ PECOS✔ Accepts Medicare3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Positive State Psychological & Behavioral Services, LLC's NPI number?

The NPI number for Positive State Psychological & Behavioral Services, LLC is 1194447599. It was assigned to this organization in the NPPES registry on September 13, 2022.

Where is Positive State Psychological & Behavioral Services, LLC located?

Positive State Psychological & Behavioral Services, LLC is located at 140 S Broadway Ste 7, Pitman, NJ 08071. The listed phone number is (844) 365-7676.

What is Positive State Psychological & Behavioral Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Positive State Psychological & Behavioral Services, LLC enrolled in Medicare?

Yes. Positive State Psychological & Behavioral Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Positive State Psychological & Behavioral Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Positive State Psychological & Behavioral Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Positive State Psychological & Behavioral Services, LLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.