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NICOLE PHYLLIS BERMENSOLO MA NPI 1700525607


NPI Information

NPI: 1700525607
Provider Name: NICOLE PHYLLIS BERMENSOLO, MA
Classification: Psychologist - 103TP2701X
Entity Type: Individual

Specialization: Group Psychotherapy

Address:
6510 OCEAN CREST DR APT 301
RANCHO PALOS VERDES, CA
ZIP 90275
Phone: (917) 439-9684
Get Directions

Nicole Phyllis Bermensolo, MA is a group psychotherapy psychologist in Rancho Palos Verdes, CA. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. Nicole Phyllis Bermensolo, MA NPI is 1700525607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6510 OCEAN CREST DR APT 301
RANCHO PALOS VERDES, CA
ZIP 90275-403
Phone: (917) 439-9684

The enumeration date for this NPI number is 5/31/2022 and was last updated on 5/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup Psychotherapy132721CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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