Nicola Beckles, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

009984 Issued in NY

Practice address

221 Broadway
Suite 201C
Amityville, NY 11701-2780

Phone

(718) 390-8815

Fax

(718) 526-5503

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balance With Intent Psychology, PLLC

  • Clinical Psychologist
  • Amityville, NY
  • NPI 1932891710
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1043421381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117010085",
            "telephone_number": "718-390-8815",
            "fax_number": "718-526-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 201C",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012780",
            "telephone_number": "718-390-8815",
            "fax_number": "718-526-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLES",
        "first_name": "NICOLA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "009984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01183884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donato Michael Balsamo, D.O.
• Christine Barsic
• Nicole Bauer, LMHC
• Kimberly Ann Bauza, LMSW
• Guencia Beaubrun
• Sarah Belizaire, DNP, APRN,PMHMP-BC
• Zuleima Geecell Benitez Argueta
• Nanci Lee Berg
• Samantha Berkman
• Marjorie Berry

• Cognitive & Behavioral Psychologist in Amityville, NY
• Providers in Amityville, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.