SHELLY D'AMATO LLC
NPI 1972355287
Clinic/Center - Mental Health (Including Community Mental Health Center) in Roseland, NJ
About Shelly D'amato Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY D'AMATO LLC (NPI 1972355287) is a healthcare organization registered as a mental health (including community mental health center) in Roseland, New Jersey and active in the NPI registry since April 2024. The organization lists Shelly D'amato, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelly D'amato 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 Shelly D'amato LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Shelly D'amato LLC's NPI number?
The NPI number for Shelly D'amato LLC is 1972355287. It was assigned to this organization in the NPPES registry on April 2, 2024.
Where is Shelly D'amato LLC located?
Shelly D'amato LLC is located at 14 Pacio Ct, Roseland, NJ 07068. The listed phone number is (201) 245-4014.
What is Shelly D'amato LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Shelly D'amato LLC enrolled in Medicare?
Yes. Shelly D'amato LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shelly D'amato LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shelly D'amato 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 Shelly D'amato LLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shelly D'amato Llc · NPI 1972355287
Mental Health (Including Community Mental Health Center) organization in Roseland, New Jersey. Organization record, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1972355287 (Entity type: Organization)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Shelly D'amato, OWNER
## Practice location
- **Address:** 14 PACIO CT, Roseland, NJ 07068-1121
- **Phone:** (201) 245-4014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972355287) · Data from the CMS NPPES public registry.