Personalized Psychology PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PERSONALIZED PSYCHOLOGY PLLC

Practice address

933 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1661

Phone

(347) 645-2445

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Moses, PSY.D.

Title

Owner

Phone

(347) 645-2445

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1609544220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431661",
            "telephone_number": "347-645-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431661",
            "telephone_number": "347-645-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-645-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Pena-Sullivan, LCSW
• Milana Penchev
• Eimy Banesa Perez
• Letxi Perez
• Andre Persaud, M.D.
• Lisa Marie Petrucelli, LCSW
• David Anthony Petti, D.D.S.
• Nicole Marie Pieragostini, LCSW
• Nicole Pierrette
• Daniel J Pietrzak, COTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.