- Practice location
- 760 Broadway, Brooklyn, NY 11206-5317
- Phone
- 718-963-5832
- Fax
- —
- Last updated
- February 3, 2023
Deidre Bassolino is a Psychologist, Counseling based in Brooklyn, NY. Deidre Bassolino practices in Brooklyn, NY and has the professional credentials of PHD. The NPI Number for Deidre Bassolino is 1083261077 and holds a License No. 025399 (NY). The current practice location address for Deidre Bassolino is 760 Broadway, Brooklyn, NY 11206-5317 and can be reached out via phone at 718-963-5832.
Provider Profile Details
- NPI Number
- 1083261077
- Provider Name
- Deidre Bassolino
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 760 Broadway, Brooklyn, NY 11206-5317
- Phone Number
- 718-963-5832
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 23, 2019
- Last Update Date
- February 3, 2023
- Certification Date
- February 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 760 Broadway
Brooklyn, NY 11206-5317 - City
- Brooklyn
- State
- New York
- Zip
- 11206-5317
- Phone Number
- 718-963-5832
Provider Business Mailing Address Details
- Address
- 15 William St
New York, NY 10005-2886 - City
- New York
- State
- NY
- Zip
- 10005-2886
- Phone Number
- 347-463-6807
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 025399
- License State (2)
- NY
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Deidre Bassolino, PHD?
The NPI number of Dr. Deidre Bassolino, PHD is 1083261077. It was assigned on August 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Deidre Bassolino, PHD?
Dr. Deidre Bassolino, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in NY under license number 025399.
Where does Dr. Deidre Bassolino, PHD practice?
The practice location is 760 Broadway, Brooklyn, NY 11206-5317. The office can be reached at 718-963-5832 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083261077 directly on the NPPES registry website.