DR. MICHELLE C. PESCA PH.D.
NPI 1164946372
Psychologist in Bohemia, NY

Active since July 29, 2017
1650 SYCAMORE AVE STE 44, BOHEMIA, NY 11716(631) 542-2753 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2018, Jul 29, 2017 (2 updates tracked since 2017).

About Dr. Michelle C. Pesca Ph.d. NPPES

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

DR. MICHELLE C. PESCA PH.D. (NPI 1164946372) is an individual psychologist in Bohemia, New York, licensed in New York (020386-1) and active in the NPI registry since July 2017. She maintains a secondary practice location in Ronkonkoma.

NPPES Registry Identity

NPI1164946372
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHELLE C. PESCACredential: PH.D.
Location Address1650 SYCAMORE AVE STE 44Bohemia, NY 11716-1736
Mailing Address1650 Sycamore Ave Ste 44Bohemia, NY 11716-1736 · (631) 542-2753
Sole ProprietorNo
Enumeration DateJuly 29, 2017
Last NPPES UpdateMarch 28, 20182 updates tracked since enumeration
NPI 1164946372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 020386-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 000075-1 (NY)
1650 SYCAMORE AVE STE 44, Bohemia, NY 11716

Secondary Practice Location 1

Location 1336 Ontario StRonkonkoma, NY 11779-4929 · Phone (607) 761-4609 · Fax (607) 761-4609

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 Michelle Pesca's NPI number?

The NPI number for Michelle Pesca is 1164946372. It was assigned to this individual provider in the NPPES registry on July 29, 2017.

Where is Michelle Pesca located?

Michelle Pesca practices at 1650 Sycamore Ave Ste 44, Bohemia, NY 11716. The listed phone number is (631) 542-2753.

What is Michelle Pesca's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Michelle Pesca was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.