Deidre Bassolino, PHD
NPI 1083261077ActiveIndividual· Psychologist, Counseling· Brooklyn, NY
Psychologist, Counseling (PHD) in Brooklyn, New York, licensed in NY, with an NPI issued in August 2019. Enrolled in Medicare as order and referring only - clinical psychologist.
Overview
| NPI | 1083261077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Aug 23, 2019 |
| Last updated in NPPES | Feb 3, 2023 |
| Certified by provider | Feb 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 025399 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Clinical Psychologist (NY) |
|---|
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