Active NPI
Niya Sharron Bealin, MS
- School Psychologist
- Racine, WI
National Provider Identifier
1457793218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 694414
- Practice address
- 3801 Spring Street
Racine, WI 53405 - Phone
- (262) 687-4011
- NPI assigned
- Jul 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 694414 | WI | Primary |
Addresses
Primary practice location
3801 Spring Street
Racine, WI 53405
Mailing address
5326 N 46TH St
Milwaukee, WI 53218-3423
Phone (414) 217-3058
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694414 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1457793218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5326 N 46TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532183423",
"telephone_number": "414-217-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SPRING STREET",
"city": "RACINE",
"state": "WI",
"postal_code": "53405",
"telephone_number": "262-687-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALIN",
"first_name": "NIYA",
"middle_name": "SHARRON",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "694414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.