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MAIN LINE INTEGRATIVE PSYCHIATRY
NPI 1457227084
Psychiatry & Neurology - Psychiatry in Bala Cynwyd, PA

Active since October 13, 2025
10 UNION AVE APT 301, BALA CYNWYD, PA 19004(484) 222-0314 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Line Integrative Psychiatry NPPES

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

MAIN LINE INTEGRATIVE PSYCHIATRY (NPI 1457227084) is a healthcare organization registered as a psychiatry in Bala Cynwyd, Pennsylvania and active in the NPI registry since October 2025. The organization lists Timothy Robert Derosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1457227084
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMAIN LINE INTEGRATIVE PSYCHIATRY
Location Address10 UNION AVE APT 301Bala Cynwyd, PA 19004-3421
Mailing Address10 Union Ave Apt 301Bala Cynwyd, PA 19004-3421 · (484) 222-0314
Phone(484) 222-0314
Organization SubpartNo
Authorized OfficialTimothy Robert DerosaOwner · (484) 222-0314
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 12, 2025
✔ NPI 1457227084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10 UNION AVE APT 301, Bala Cynwyd, PA 19004
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Main Line Integrative Psychiatry's NPI number?

The NPI number for Main Line Integrative Psychiatry is 1457227084. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Main Line Integrative Psychiatry located?

Main Line Integrative Psychiatry is located at 10 Union Ave Apt 301, Bala Cynwyd, PA 19004. The listed phone number is (484) 222-0314.

What is Main Line Integrative Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Main Line Integrative Psychiatry was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.