Individual provider Active NPI

Ronald William Belter, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Pensacola, FL
National Provider Identifier
1063679678
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY5035 Issued in FL
Practice address
11000 University Pkwy
Psychology Dept., University of West Florida
Pensacola, FL 32514-5732
Phone
(850) 474-2791
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY5035 FL Primary

Addresses

Primary practice location

11000 University Pkwy
Psychology Dept., University of West Florida
Pensacola, FL 32514-5732

Mailing address

11000 University Pkwy
Psychology Dept., University of West Florida
Pensacola, FL 32514-5732
Phone (850) 474-2791

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
PY5035FLMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1063679678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 UNIVERSITY PKWY",
            "address_2": "PSYCHOLOGY DEPT., UNIVERSITY OF WEST FLORIDA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145732",
            "telephone_number": "850-474-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 UNIVERSITY PKWY",
            "address_2": "PSYCHOLOGY DEPT., UNIVERSITY OF WEST FLORIDA",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145732",
            "telephone_number": "850-474-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTER",
        "first_name": "RONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY5035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.