Charles Bellavia, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

047323 Issued in NY

Practice address

6129 Royal Birkdale
Jamesville, NY 13078-9718

Phone

(315) 425-4400

Fax

(315) 425-3447

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Psychology Associates Inc

  • Family Psychologist
  • Safety Harbor, FL
  • NPI 1598801110

  Clinical, FL

  Medicare reassignment Care Compare group NPD
• Lynda Gurvitz PHD Inc

  • Clinical Psychologist
  • Largo, FL
  • NPI 1356580955
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Family Psychology Associates Inc 16 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447346754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 ROYAL BIRKDALE",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789718",
            "telephone_number": "315-425-4400",
            "fax_number": "315-425-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 ROYAL BIRKDALE",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789718",
            "telephone_number": "315-425-4400",
            "fax_number": "315-425-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAVIA",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "047323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angiela Marie Granja Aurelio
• Nicholas J Baker
• Allie Balotin
• Eric Scott Balotin, RPH
• Dawn Marie Becker
• Belly O'So Pregnant
• Erika Bird
• Gillian E Boucher, RN, LMT
• Ahmy Lynn Brock, LMFT
• Jessica E. Brown, MSOT

• All providers in Jamesville, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.