Main Line Integrative Psychiatry
NPI 1457227084 · Psychiatry Physician · Bala Cynwyd, PA
Main Line Integrative Psychiatry is a Psychiatry Physician organization in Bala Cynwyd, PA (NPI 1457227084).
Provider details
- NPI number
- 1457227084
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Derosa, Owner(484) 222-0314
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-12
Frequently asked questions
- What is Main Line Integrative Psychiatry's NPI number?
- Main Line Integrative Psychiatry's National Provider Identifier (NPI) is 1457227084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Line Integrative Psychiatry?
- Main Line Integrative Psychiatry is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Main Line Integrative Psychiatry located?
- Main Line Integrative Psychiatry's practice location on file with NPPES is 10 Union Ave Apt 301, Bala Cynwyd, PA 19004-3421.
- What is Main Line Integrative Psychiatry's phone number?
- The practice phone number listed in the NPPES registry for Main Line Integrative Psychiatry is (484) 222-0314.
- Who is the authorized official for Main Line Integrative Psychiatry?
- The authorized official listed on Main Line Integrative Psychiatry's NPPES record is Timothy Derosa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Line Integrative Psychiatry's NPI active?
- Yes — Main Line Integrative Psychiatry's NPI (1457227084) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.