Provider Demographics
NPI:1013689116
Name:KATERI BERASI PSYD PLLC
Entity Type:Organization
Organization Name:KATERI BERASI PSYD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATERI
Authorized Official - Middle Name:
Authorized Official - Last Name:BERASI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-979-1731
Mailing Address - Street 1:162 SAINT NICHOLAS AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-4410
Mailing Address - Country:US
Mailing Address - Phone:914-522-2304
Mailing Address - Fax:
Practice Address - Street 1:109 N 12TH ST STE 817
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-1002
Practice Address - Country:US
Practice Address - Phone:149-791-7319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty