Michael Sean Belk, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004505 Issued in GA

Practice address

51 W Fairmont Ave Ste 203
Savannah, GA 31406-3469

Phone

(912) 655-7913

NPI assigned

Oct 13, 2018

Sex

Male

Sole proprietor

Yes

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 GA

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Heritage Behavioral Health, LLC

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1144998352
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1487129706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W FAIRMONT AVE STE 203",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063469",
            "telephone_number": "912-655-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W FAIRMONT AVE STE 203",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063469",
            "telephone_number": "912-655-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELK",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeid Behroozi, M.D.
• Ryan Paul Behta, D.O.
• James G. Beisel, OD
• Kelli Renee Beisel, OD
• Nancy I Belin, CNM
• Catie Miller Bell, NP
• Gregory R Bell Jr.
• Kelly B Bell, L.C.S.W.
• Marian L Bell, PHARM. D
• Stephanie Bell

• Clinical Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.