Balestrieri Psychology Services, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BALESTRIERI PSYCHOLOGY SERVICES, PA

Doing business as

Modern Intimacy

Practice address

9152 Alden Dr
Unit 9
Beverly Hills, CA 90210

Phone

(310) 299-2040

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Catherine BalestrieriNPI 1134466238

Title

Founder

Phone

(310) 993-1664

Specialties & licenses 1

Addresses

Other names 1

• Modern Intimacy Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Balestrieri, PSY.D.

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1134466238
  NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1780334474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 SANTA MONICA BLVD STE 823",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121671",
            "telephone_number": "310-299-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9152 ALDEN DR",
            "address_2": "UNIT 9",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-299-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALESTRIERI PSYCHOLOGY SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "BALESTRIERI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-993-1664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.modernintimacy.com",
            "affiliation": "N",
            "address_1": "9903 Santa Monica Blvd Ste 823",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902121671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Modern Intimacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Ryan Balachio, PA
• Hilda Balakhane, LCSW
• Ruth Balarosan, NURSE
• Balaze Dental Group
• Daniel Brian Balaze, D.M.D.
• Stewart R Balikov, DDS
• Ellen Margaret Balkan, LCSW
• Jeffrey D Ball, PHD
• Nicolette Lee Ballou, MD
• Mark Bamberger, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.