DR. MICHAEL J PARRELLA PH.D.
NPI 1699742577
Clinical Neuropsychologist in Port Jefferson, NY

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
646 MAIN ST, PORT JEFFERSON, NY 11777(631) 473-4652(631) 473-4652 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael J Parrella Ph.d. NPPES

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

DR. MICHAEL J PARRELLA PH.D. (NPI 1699742577) is an individual clinical neuropsychologist in Port Jefferson, New York, licensed in New York (9908) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1699742577
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. MICHAEL J PARRELLACredential: PH.D.
Location Address646 MAIN STPort Jefferson, NY 11777-2235
Mailing Address646 Main StPort Jefferson, NY 11777-2235 · (631) 473-4652 · Fax (631) 473-4652
Fax(631) 473-4652
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 1, 2006
Last NPPES UpdateDecember 8, 2011
✔ NPI 1699742577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 9908
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 9908 (NY)
646 MAIN ST, Port Jefferson, NY 11777

Other Identifiers 1

Medicare ID-Type UnspecifiedV71412NY · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Parrella Ph.d. 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 ID8729040142
PECOS Enrollment IDI20041028000633
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Parrella reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
200 BELLE TERRE RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 210 clinicians in this Medicare group
Medical Specialty
15 PARK AVE
Bay Shore, NY 11706
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
646 MAIN ST, SUITE 201
PORT JEFFERSON, NY 11777
Social Worker (Clinical)
646 MAIN ST, LOWER LEVEL
PORT JEFFERSON, NY 11777
Social Worker
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist (Clinical Child & Adolescent)
646 MAIN ST
PORT JEFFERSON, NY 11777
Social Worker
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist (Clinical)
646 MAIN ST, 2ND FLOOR, SUITE 203
PORT JEFFERSON, NY 11777
Counselor (Mental Health)
646 MAIN ST
PORT JEFFERSON, NY 11777

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 Michael Parrella's NPI number?

The NPI number for Michael Parrella is 1699742577. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Michael Parrella located?

Michael Parrella practices at 646 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 473-4652.

What is Michael Parrella's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Michael Parrella enrolled in Medicare?

Yes. Michael Parrella 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.

Which organizations bill Medicare for Michael Parrella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Parrella reassigns Medicare benefits to 2 organizations: St. Charles Hospital Corp. (Port Jefferson, NY) and Good Samaritan Hospital Medical Center (Bay Shore, NY). Each 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 Michael Parrella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Parrella affiliated with any hospitals?

According to CMS data, Michael Parrella is affiliated with St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Michael Parrella was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.