Individual provider Active NPI

Elide Beltram, PHD

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1417254038
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
Practice address
41 E 11TH St # 51
Washington Square Institute
New York, NY 10003-4602
Phone
(212) 477-2600
NPI assigned
Feb 16, 2011
Last updated
Feb 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X NY Primary

Addresses

Primary practice location

41 E 11TH St # 51
Washington Square Institute
New York, NY 10003-4602

Mailing address

7002 Boulevard East Apt 34E
Guttenberg, NJ 07093-4946
Phone (201) 861-6318

Other names 1

  • Dr. Elide Beltram Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1417254038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 BOULEVARD EAST APT 34E",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934946",
            "telephone_number": "201-861-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 11TH ST # 51",
            "address_2": "WASHINGTON SQUARE INSTITUTE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034602",
            "telephone_number": "212-477-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAM",
        "first_name": "ELIDE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIDE",
            "last_name": "BELTRAM",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.