Active NPI
Danielle Beloso PSYD, LLC
- Clinical Psychologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042422A
- Legal business name
- DANIELLE BELOSO PSYD, LLC
- Practice address
- 2555 E 55TH PL
Suite 202
Indianapolis, IN 46220-3549 - Phone
- (317) 931-9241
- NPI assigned
- Sep 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danielle Blaise Beloso, PSYD
- Title
- Psychologist
- Phone
- (317) 931-9241
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042422A | IN | Primary |
Addresses
Primary practice location
2555 E 55TH PL
Suite 202
Indianapolis, IN 46220-3549
Mailing address
2555 E 55TH PL
Suite 202
Indianapolis, IN 46220-3549
Phone (317) 931-9241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
819 E 64th St
Ste 23
Indianapolis, IN 46220
Phone (317) 931-9241
819 E 64th St
Ste 236
Indianapolis, IN 46220
2555 55th Pl
Ste 202
Indianapolis, IN 46220
Phone (317) 694-2744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1104251016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 E 55TH PL",
"address_2": "SUITE 202",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462203549",
"telephone_number": "317-931-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E 55TH PL",
"address_2": "SUITE 202",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462203549",
"telephone_number": "317-931-9241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIELLE BELOSO PSYD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "BELOSO",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "BLAISE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "317-931-9241",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042422A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.