Belmont Psychological Services, a Psychology Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22795 Issued in CA

Legal business name

BELMONT PSYCHOLOGICAL SERVICES, A PSYCHOLOGY CORPORATION

Practice address

6615 E Pacific Coast Hwy
Suite 255
Long Beach, CA 90803-4211

Phone

(562) 799-6700

Fax

(562) 799-6733

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn ManettaNPI 1265658454

Title

Owner

Phone

(562) 799-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Manetta, PH.D.

  • Psychologist
  • Long Beach, CA
  • NPI 1265658454
  Medicare reassignment Care Compare group Authorized official
• Michelle Beakey

  • Psychologist
  • Los Angeles, CA
  • NPI 1083026686
  Medicare reassignment Care Compare group NPD
• Nancy Cano

  • Clinical Social Worker
  • Pasadena, CA
  • NPI 1386082337
  Medicare reassignment Care Compare group NPD
• Haley Gordon Murphy, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Long Beach, CA
  • NPI 1992223291
  NPD
• Jaime Dunham, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1144479536
  NPD (past)
• Miguel Oportot, PH.D.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1568405538
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1194104562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 255",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-799-6700",
            "fax_number": "562-799-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 255",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-799-6700",
            "fax_number": "562-799-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT PSYCHOLOGICAL SERVICES, A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "MANETTA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-799-6700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abubakar Paul Bello
• Brian Steven Bello, M.D.
• Melinda Marie Bellomy-Muth, RN, NP
• Judith Jennifer Belman, NP
• Belmont Heights Healthcare Center LLC (Country Villa Belmont Heights Healthcare Center)
• Belmont Shore Optometric Associates Inc.
• Belmont Shore Wellness Center
• Sara Elizabeth Belmonte
• Jasmin Belmudez
• Chaundra L Belton

• Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.

Verify at the official NPI Registry.