Melissa Lee Belanger, PSYD
Individual provider Active NPI Clinical Psychologist · Kaneohe, HI
NPI 1083635155 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083635155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY-753 (HI)
- Practice address
- 45-955 Kamehameha Hwy Ste 306
Kaneohe, HI 96744-3292 - Phone
- (808) 247-7900
- Fax
- (808) 254-4526
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan Inc
Practice addresses (Care Compare)
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2160
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040712000710 | HI | Practitioner - Clinical Psychologist | 8426036872 |
Reassigns benefits to 1 organization Practice locations: Kaneohe, HI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18864 | CA | MD | Clinical Psychologist |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan, Inc | Current |
Accepting new patients |
Locations
1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-753 | HI | Yes |
| Clinical Psychologist | 103TC0700X | PSY 18864 | CA |
Addresses
Primary practice location
45-955 Kamehameha Hwy Ste 306
Kaneohe, HI 96744-3292
Mailing address
PO Box 1451
Kailua, HI 96734-1451
Phone (808) 247-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55627701 | Medicaid | HI |
Other providers in Kaneohe, HI
- Sara Basso
- Toni Jen Bastatas
- Jennifer Bauerle
- Ricky Desi Bautista
- Behavioral Health & Family Management
- Junelynn Belvis
- Maria Evelyn Yncierto Bermisa
- BF Integrity Care
- James Lyle Bibb
- Anaizah Gerona Bickley
All providers in Kaneohe, HI · Clinical Psychologist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.