Individual provider Active NPI

Samara Lynn Belman, PH.D.

  • Psychologist
  • Silver Spring, MD
National Provider Identifier
1023073996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04268 Issued in MD
Practice address
8720 Georgia Ave
808
Silver Spring, MD 20910-3638
Phone
(571) 217-7098
Fax
(301) 589-1471
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810003443 VA
Psychologist 103T00000X 04268 MD Primary

Addresses

Primary practice location

8720 Georgia Ave
808
Silver Spring, MD 20910-3638

Mailing address

8720 Georgia Ave
808
Silver Spring, MD 20910-3638
Phone (571) 217-7098

Other identifiers 3

IdentifierTypeStateIssuer
293818OtherVAAMERIGROUP CORPORATION
187895OtherVAANTHEM
7484691OtherVAAETNA BEHAVIORAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04268MDMDPsychologist
0810003443VAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023073996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "808",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "571-217-7098",
            "fax_number": "301-589-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "808",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "571-217-7098",
            "fax_number": "301-589-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMAN",
        "first_name": "SAMARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003443",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP CORPORATION",
            "identifier": "293818",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "187895",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL",
            "identifier": "7484691",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.