Active NPI
Catherine Balestrieri, PSY.D.
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1134466238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 26249
- Practice address
- 2222 Santa Monica Blvd
Suite 105
Santa Monica, CA 90404-2304 - Phone
- (424) 272-0510
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071 008502 | IL | |
| Clinical Psychologist | 103TC0700X | PSY 26249 | CA | Primary |
Addresses
Primary practice location
2222 Santa Monica Blvd
Suite 105
Santa Monica, CA 90404-2304
Mailing address
2222 Santa Monica Blvd
Suite 105
Santa Monica, CA 90404-2304
Phone (424) 272-0510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 26249 | CA | MD | Clinical Psychologist |
| 071 008502 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balestrieri Psychology Services, PA | Current | Accepting new patients | |
| Savage & Taylor Psychological Services Medical PC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Modern Intimacy
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- NPI 1780334474
-
- Clinical Psychologist
- Chicago, IL
- NPI 1801177795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1134466238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SANTA MONICA BLVD",
"address_2": "SUITE 105",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042304",
"telephone_number": "424-272-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 SANTA MONICA BLVD",
"address_2": "SUITE 105",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042304",
"telephone_number": "424-272-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALESTRIERI",
"first_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071 008502",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 26249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.