Individual provider Active NPI

Vicky Mesrie, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1629544168
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023363-01 Issued in NY
Practice address
863 President St
Garden Suite
Brooklyn, NY 11215-1405
Phone
(212) 508-9798
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018662 PA
Clinical Psychologist 103TC0700X 023363-01 NY Primary

Addresses

Primary practice location

863 President St
Garden Suite
Brooklyn, NY 11215-1405

Mailing address

863 President Street
Garden Suite
New York, NY 11215
Phone (212) 508-9798

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
023363-01NYMDClinical Psychologist
PS018662PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vicky Mesrie Psychology, PLLC Clinical CurrentSince Jan 19, 2025 Accepting new patients
Vicky Mesrie, LLC Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

244 5th Ave
Ste V276
New York, NY 10001

1315 Walnut St
Ste 1700
Philadelphia, PA 19107
Phone (215) 545-1566

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1629544168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 PRESIDENT STREET",
            "address_2": "GARDEN SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "212-508-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 PRESIDENT ST",
            "address_2": "GARDEN SUITE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151405",
            "telephone_number": "212-508-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESRIE",
        "first_name": "VICKY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018662",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023363-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.