Irene Belaga, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016804 Issued in NY

Practice address

2699 Stirling Rd
Ste C403A
Fort Lauderdale, FL 33312-6564

Phone

(800) 232-5037

Fax

(800) 232-5037

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Mindholisticllc

  • Clinical Psychologist
  • Satellite Beach, FL
  • NPI 1417677006
  NPD Authorized official
• Clinical Psychassociates LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1124051925
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1427245216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 A1A SUITE 303",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "800-232-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "STE C403A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126564",
            "telephone_number": "800-232-5037",
            "fax_number": "800-232-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAGA",
        "first_name": "IRENE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02920469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Stuart Beitler, MD
• Carlos Bejar, M.D.
• Bassem Bekheit, DO
• Ronald Michael Bekic, D.O.
• Bel Canto Detox
• Duprou Beliard, NP
• Bella Blanca Behavioral Services, LLC
• Belladent3D LLC
• Belle Medical Group of Florida, P.a.
• Belle Medical Group of Indiana PC

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.