Provider Demographics
NPI:1437939998
Name:PSYCHODYNAMIC SOLUTIONS
Entity Type:Organization
Organization Name:PSYCHODYNAMIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ELENI
Authorized Official - Middle Name:
Authorized Official - Last Name:VASILIADIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-531-0497
Mailing Address - Street 1:1925 23RD TER
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3725
Mailing Address - Country:US
Mailing Address - Phone:917-751-9232
Mailing Address - Fax:
Practice Address - Street 1:3801 23RD AVE STE 306
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1978
Practice Address - Country:US
Practice Address - Phone:917-751-9232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty