Organization Active NPI

Balestrieri Psychological Services, P.C.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1376092213
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 26249 Issued in CA
Legal business name
BALESTRIERI PSYCHOLOGICAL SERVICES, P.C.
Practice address
11600 Wilshire Blvd
Suite 412
Los Angeles, CA 90025-5781
Phone
(310) 993-1664
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Catherine Balestrieri, PSY.D.
Title
Executive Director
Phone
(310) 993-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY 26249 CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd
Suite 412
Los Angeles, CA 90025-5781

Mailing address

11600 Wilshire Blvd
Suite 412
Los Angeles, CA 90025-5781

Other names 1

  • Triune Therapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

11600 Wilshire Blvd
Ste 412
West Los Angeles, CA 90025
Phone (310) 473-2911

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1376092213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD",
            "address_2": "SUITE 412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD",
            "address_2": "SUITE 412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255781",
            "telephone_number": "310-993-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALESTRIERI PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BALESTRIERI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-993-1664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 26249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triune Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.