Healthcare Provider Details
I. General information
NPI: 1386573194
Provider Name (Legal Business Name): VICKY MESRIE PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
863 PRESIDENT STREET GARDEN SUITE
BROOKLYN NY
11215
US
IV. Provider business mailing address
863 PRESIDENT STREET GARDEN SUITE
BROOKLYN NY
11215
US
V. Phone/Fax
- Phone: 212-508-9798
- Fax:
- Phone: 212-508-9798
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
VICKY
MESRIE
Title or Position: OWNER
Credential: PSYD
Phone: 212-508-9798