Jacqueline Belanger, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6660 Issued in OH

Practice address

1020 Ashwood Dr
Wooster, OH 44691-2604

Phone

(330) 347-0800

NPI assigned

Aug 24, 2008

Last updated

Feb 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fieldstone Mental Health LLC

  • Clinical Psychologist
  • Wooster, OH
  • NPI 1730596206
  Authorized official Same address or phone
• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941
  NPD (past)

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1558518316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ASHWOOD DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912604",
            "telephone_number": "330-347-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ASHWOOD DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912604",
            "telephone_number": "330-347-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6660",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Noel Becker
• Karen S Becker, MA, PCC-S, LSW
• Debra Aileen Beckstett, LISW-S
• Roxanna R Beers
• Richard Beichler, RPH
• Shareele Bell-Waiters, QMHS
• Crystal I Bell
• Maddison Courtland Taylor Bell, PMHNP
• Patience C Bell, BS, CT
• Shalyn Marie Bell

• Psychologist in Wooster, OH
• Providers in Wooster, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.