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

MS. Michelle Petrongolo, PSYD, BCBA

Individual provider Behavior Analyst · NPI 1447500574

MS. Michelle Petrongolo, PSYD, BCBA is a Clinical Psychologist in Sewell, New Jersey. Qualified in 2014, 12 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2012
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

123 Egg Harbor Rd Ste 302
Sewell, NJ 08080-9406
Phone: (856) 278-6095
Fax: (866) 567-5687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 321 Fortune Blvd, Milford, MA 01757-1750 — (508) 478-0207

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1447500574
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , BCBA
Sole proprietorNo
NPI enumeratedSeptember 17, 2012
Last updated in NPPESSeptember 11, 2025
Certification dateFebruary 11, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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