Active NPI
Danielle Beloso, PSYCHOLOGIST
- Psychologist
- Indianapolis, IN
National Provider Identifier
1326244328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042422A
- Practice address
- 2555 E 55TH PL
Suite 202
Indianapolis, IN 46220-3549 - Phone
- (317) 931-9241
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4709 | NJ | |
| Psychologist | 103T00000X | 018052 | NY | |
| Psychologist | 103T00000X | CP1284 | ME | |
| Psychologist | 103T00000X | 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
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP1284 | ME | MD | Psychologist |
| 4709 | NJ | MD | Psychologist |
| 018052 | NY | MD | Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1326244328",
"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": {
"last_name": "BELOSO",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "4709",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018052",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "CP1284",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"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 Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.