Active NPI
Stephen B Bellus, CONSULTING PSYCHOLOG
- Psychologist
- Buffalo, NY
National Provider Identifier
1538480595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0090093
- Practice address
- 2495 Main St
Suite 302
Buffalo, NY 14214-2152 - Phone
- (716) 505-5790
- Fax
- (716) 505-5799
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0090093 | NY | Primary |
Addresses
Primary practice location
2495 Main St
Suite 302
Buffalo, NY 14214-2152
Mailing address
191 Lancaster Ave
Buffalo, NY 14222-1453
Phone (716) 885-8843
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0090093 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1538480595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 LANCASTER AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221453",
"telephone_number": "716-885-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 MAIN ST",
"address_2": "SUITE 302",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142152",
"telephone_number": "716-505-5790",
"fax_number": "716-505-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLUS",
"first_name": "STEPHEN",
"middle_name": "B",
"credential": "CONSULTING PSYCHOLOG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0090093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.