Michelle Fanciullo, PSYD - Psychologist in Hackensack, NJ

Michelle Fanciullo, PSYD is a Psychologist - Clinical Child & Adolescent based in Hackensack, New Jersey. Michelle Fanciullo is licensed to practice in New Jersey (license number 35SI00623300) and her current practice location is 12 2nd St, Hackensack, New Jersey. She can be reached at her office (for appointments etc.) via phone at (551) 996-8186.

NPI number for Michelle Fanciullo is 1144831082 and her current mailing address is 30 Prospect Ave, Hackensack, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144831082.

Contact Information

Michelle Fanciullo, PSYD
12 2nd St,
Hackensack, NJ 07601-2009
(551) 996-8186
Not Available



Healthcare Provider's Profile

Full NameMichelle Fanciullo
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location12 2nd St, Hackensack, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144831082
  • Provider Enumeration Date: 08/13/2020
  • Last Update Date: 08/13/2020

Medical Identifiers

Medical identifiers for Michelle Fanciullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144831082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 35SI00623300 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Fanciullo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Fanciullo, PSYD
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: () -
Michelle Fanciullo, PSYD
12 2nd St,
Hackensack, NJ 07601-2009

Ph: (551) 996-8186

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› Verified 1 days ago


Psychologist in Hackensack, NJ

Dr. Richard L Bruno, HD PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 151 Prospect Ave, 17a, Hackensack, NJ 07601
Phone: 201-342-6777    Fax: 201-342-6777
Michelle Miller,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 411 Hackensack Ave, Hackensack, NJ 07601
Phone: 201-465-8111    
Dr. Linda Terry Mack, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 83 Summit Ave, Hackensack, NJ 07601
Phone: 201-488-6678    Fax: 201-224-0599
Dr. Anne R Farrar-anton, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Prospect Ave, Tomorrows Childrens Institute, Hackensack, NJ 07601
Phone: 201-996-5255    Fax: 201-487-7340
Dr. Cynthia Radnitz, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 131 Temple Ave, Center For Psychological Services, Fdu, Hackensack, NJ 07601
Phone: 201-692-2306    Fax: 201-692-2164
Marisol Habrahamshon, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 83 Summit Ave, Hackensack, NJ 07601
Phone: 201-488-6678    

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