Balance With Intent Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BALANCE WITH INTENT PSYCHOLOGY, PLLC

Practice address

166 Broadway Ste 19
Amityville, NY 11701-2704

Phone

(718) 390-8815

NPI assigned

May 22, 2023

Last updated

May 22, 2023By 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. Nicola Beckles, PH.D.NPI 1043421381

Title

Owner/Clinical Psychologist

Phone

(718) 390-8815

Specialties & licenses 1

Addresses

Locations

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.

• Nicola Beckles, PH.D.

  • Cognitive & Behavioral Psychologist
  • Amityville, NY
  • NPI 1043421381
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1932891710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21905 74TH AVE FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643031",
            "telephone_number": "516-318-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BROADWAY STE 19",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012704",
            "telephone_number": "718-390-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WITH INTENT PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "BECKLES",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-390-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Tyese Bacon, ED.D, LCSW, MSW, CT
• Lotoya Bailey, LPN
• Dahiana Bakalian, PA-C
• Geetha Balamurugan, DDS
• Balance Breath LCSW PLLC
• Donato Michael Balsamo, D.O.
• Summer Baranello
• Christine Barsic
• Nicole Bauer, LMHC
• Kimberly Ann Bauza, LMSW

• Clinical Psychologist in Amityville, NY
• Providers in Amityville, 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 May 22, 2023; 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.