Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael J Parrella, PHD

Individual provider Clinical Neuropsychologist · NPI 1699742577

Dr. Michael J Parrella, PHD is a Clinical Psychologist in Port Jefferson, New York. Qualified in 1989, 37 years ago. Practices with St Charles Hospital Corp, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

646 Main St
Port Jefferson, NY 11777-2235
Phone: (631) 473-4652
Fax: (631) 473-4652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 9908 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 9908 (NY)

Record details

NPI number1699742577
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 1, 2006
Last updated in NPPESDecember 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice St Charles Hospital Corp — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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