Nina Belfrom, PSY.D.

Individual provider Active NPI Clinical Psychologist · Coppell, TX

NPI 1497128573 · NPPES record last updated Nov 11, 2015

Key facts

NPI
1497128573
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
36526 (TX)
Practice address
413 W Bethel Rd
Suite 100
Coppell, TX 75019-4473
Phone
(972) 393-1596
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
36526TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Belfrom Psychological Services, PLLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36526 TX Yes

Addresses

Primary practice location

413 W Bethel Rd
Suite 100
Coppell, TX 75019-4473

Mailing address

413 W Bethel Rd
Suite 100
Coppell, TX 75019-4473
Phone (972) 393-1596

Other providers in Coppell, TX

All providers in Coppell, TX · Clinical Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.