Active NPI
Belinda Stroud, PSY.D.
- Clinical Psychologist
- Penn Valley, CA
National Provider Identifier
1326503814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24593 | CA | MD | Adult Development & Aging Psychologist |
| 24593 | CA | MD | Pulmonary Rehabilitation Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitehill Psychotherapy | Clinical | Past | 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.
-
dba Belinda Stroud, Psy.D.
- Clinical Psychologist
- Mill Valley, CA
- NPI 1942546346
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.