DR. BRYAN F GRANELLI PH.D.
NPI 1801950639
Psychologist in Fair Lawn, NJ

Active since December 19, 2006PECOS Enrolled
14-25 PLAZA RD STE N27, FAIR LAWN, NJ 07410(201) 445-4310 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 26, 2017 (3 updates tracked since 2017).

  • Individual
  • Male
  • Psychologist
  • PECOS Enrolled

About BRYAN GRANELLI

This page provides the complete NPI Profile along with additional information for Bryan Granelli, a provider established in Fair Lawn, New Jersey with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1801950639 assigned on December 2006. The practitioner's primary taxonomy code is 103T00000X with license number SI1942 (NJ). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1801950639 Verify this NPI
Provider Name
DR. BRYAN F GRANELLI PH.D.
Gender
Male
Entity Type
Individual
Location Address
14-25 PLAZA RD STE N27 FAIR LAWN, NJ 07410
Location Phone
(201) 445-4310
Mailing Address
14-25 PLAZA RD STE N27 FAIR LAWN, NJ 07410
Mailing Phone
(201) 445-4310
Is Sole Proprietor?
Yes
Enumeration Date
12-19-2006
Last Update Date
07-21-2022
Code Navigator

A psychologist like Bryan Granelli studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Secondary Locations

  • 112 Prospect St
    Ridgewood, NJ 07450
    (201) 445-4310

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
SI1942
License State
NJ
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 

Medicare Participation & PECOS Enrollment Status

Bryan Granelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
14-25 PLAZA RD STE N27
FAIR LAWN, NJ 07410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801950639, enumerated as an "individual" on December 19, 2006.

The provider is located at 14-25 PLAZA RD STE N27 FAIR LAWN, NJ 07410 and the phone number is (201) 445-4310.

Psychologist with taxonomy code 103T00000X.