Individual provider Active NPI

Belinda Stroud, PSY.D.

  • Clinical Psychologist
  • Penn Valley, CA
National Provider Identifier
1326503814
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24593 Issued in CA
Practice address
13604 Sun Forest Dr
Penn Valley, CA 95946-9123
Phone
(415) 381-9600
Fax
(415) 381-9611
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PSY24593 CA
Clinical Psychologist 103TC0700X 24593 CA Primary

Addresses

Primary practice location

13604 Sun Forest Dr
Penn Valley, CA 95946-9123

Mailing address

13604 Sun Forest Dr
Penn Valley, CA 95946-9123
Phone (415) 381-9600

Other practice location 1

9 Medical Group
15301 Warren Shingle Rd.
Beale AFB, CA 95903
Phone (530) 634-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727002003 CA Practitioner - Clinical Psychologist 4183048952 Practice locations: Penn Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13604 Sun Forest Dr
Penn Valley, CA 95946-9123
Phone (415) 381-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY24593CAMDAdult Development & Aging Psychologist
24593CAMDPulmonary Rehabilitation Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kitehill Psychotherapy Clinical PastSince Jan 1, 2020 Accepting new patients

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1326503814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 SUN FOREST DR",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469123",
            "telephone_number": "415-381-9600",
            "fax_number": "415-381-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13604 SUN FOREST DR",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469123",
            "telephone_number": "415-381-9600",
            "fax_number": "415-381-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Medical Group",
            "address_2": "15301 Warren Shingle Rd.",
            "address_purpose": "LOCATION",
            "city": "Beale AFB",
            "state": "CA",
            "postal_code": "95903",
            "country_code": "US",
            "telephone_number": "530-634-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUD",
        "first_name": "BELINDA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY24593",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, CA

Sources for this page

Verify at the official NPI Registry.