Essentia Psicologica Psychology Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ESSENTIA PSICOLOGICA PSYCHOLOGY SERVICES, P.C.

Practice address

400 W End Ave Apt 1H
New York, NY 10024-5751

Phone

(212) 362-0092

Fax

(347) 803-1820

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Massimo Balestri, PHDNPI 1801957741

Title

Founder and Owner

Phone

(212) 362-0092

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Massimo Balestri, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1801957741
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1306599709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PALMER AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911616",
            "telephone_number": "917-885-0170",
            "fax_number": "347-803-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W END AVE APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245751",
            "telephone_number": "212-362-0092",
            "fax_number": "347-803-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Palmer Ave",
            "address_purpose": "LOCATION",
            "city": "Sleepy Hollow",
            "state": "NY",
            "postal_code": "105911616",
            "country_code": "US",
            "telephone_number": "917-885-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENTIA PSICOLOGICA PSYCHOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BALESTRI",
        "authorized_official_first_name": "MASSIMO",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "212-362-0092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.