DR. DEIDRE BASSOLINO PHD
NPI 1083261077
Psychologist - Counseling in Brooklyn, NY

Active since August 23, 2019PECOS Enrolled
760 BROADWAY, BROOKLYN, NY 11206(718) 963-5832 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2023, Aug 23, 2019 (2 updates tracked since 2019).

About Dr. Deidre Bassolino Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEIDRE BASSOLINO PHD (NPI 1083261077) is an individual counseling provider in Brooklyn, New York, licensed in New York (025399) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083261077
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. DEIDRE BASSOLINOCredential: PHD
Location Address760 BROADWAYBrooklyn, NY 11206-5317
Mailing Address15 William StNew York, NY 10005-2886 · (347) 463-6807
Sole ProprietorYes
Enumeration DateAugust 23, 2019
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
NPI 1083261077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in NY · 025399
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
760 BROADWAY, Brooklyn, NY 11206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Deidre Bassolino Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidre Bassolino's NPI number?

The NPI number for Deidre Bassolino is 1083261077. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Deidre Bassolino located?

Deidre Bassolino practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-5832.

What is Deidre Bassolino's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Deidre Bassolino enrolled in Medicare?

Yes. Deidre Bassolino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deidre Bassolino was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.