Provider Demographics
NPI:1306599709
Name:ESSENTIA PSICOLOGICA PSYCHOLOGY SERVICES, P.C.
Entity type:Organization
Organization Name:ESSENTIA PSICOLOGICA PSYCHOLOGY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MASSIMO
Authorized Official - Middle Name:
Authorized Official - Last Name:BALESTRI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-362-0092
Mailing Address - Street 1:134 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1616
Mailing Address - Country:US
Mailing Address - Phone:917-885-0170
Mailing Address - Fax:347-803-1820
Practice Address - Street 1:400 W END AVE APT 1H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5751
Practice Address - Country:US
Practice Address - Phone:212-362-0092
Practice Address - Fax:347-803-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty