MS. MICHELLE PETRONGOLO PSY.D., BCBA
NPI 1447500574
Behavior Analyst in Sewell, NJ

Q: What is Michelle Petrongolo's NPI number?

The NPI number for Michelle Petrongolo is 1447500574. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Q: What is Michelle Petrongolo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment

123 EGG HARBOR RD STE 302, SEWELL, NJ 08080(856) 278-6095(866) 567-5687 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Feb 11, 2020, Feb 15, 2017 (3 updates tracked since 2017).

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About Ms. Michelle Petrongolo Psy.d., Bcba NPPES

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

MS. MICHELLE PETRONGOLO PSY.D., BCBA (NPI 1447500574) is an individual behavior analyst provider in Sewell, New Jersey and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milford, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1447500574

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. MICHELLE PETRONGOLOCredential: PSY.D., BCBA

Location Address123 EGG HARBOR RD STE 302Sewell, NJ 08080-9406

Mailing Address123 Egg Harbor Rd Ste 302Sewell, NJ 08080-9406 · (856) 278-6095 · Fax (866) 567-5687

Phone(856) 278-6095

Fax(866) 567-5687

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 17, 2012

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2020

✔ NPI 1447500574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

123 EGG HARBOR RD STE 302, Sewell, NJ 08080

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Secondary Practice Location 1

Location 1321 Fortune BlvdMilford, MA 01757-1750 · Phone (508) 478-0207 · Fax (508) 634-6984

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Michelle Petrongolo Psy.d., Bcba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284004011

PECOS Enrollment IDI20230111003133

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATIVE PSYCHOLOGY ASSOCIATES OF SOUTH JERSEY , LLC

Psychologist (Clinical)

123 EGG HARBOR RD STE 302
SEWELL, NJ 08080

Gloucester County (856) 278-6095

DR. SHARI WELSH PSY.D.

Psychologist (Clinical)

123 EGG HARBOR RD STE 302
SEWELL, NJ 08080

Gloucester County (609) 634-6835

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 Michelle Petrongolo's NPI number?

The NPI number for Michelle Petrongolo is 1447500574. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Michelle Petrongolo located?

Michelle Petrongolo practices at 123 Egg Harbor Rd Ste 302, Sewell, NJ 08080. The listed phone number is (856) 278-6095.

What is Michelle Petrongolo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Is Michelle Petrongolo enrolled in Medicare?

Yes. Michelle Petrongolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Petrongolo was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.