Miranda Beltzer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025992 Issued in NY

Practice address

1555 York Ave Apt 5S
New York, NY 10028-6094

Phone

(914) 462-2962

NPI assigned

Sep 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Miranda Leigh Beltzer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1578340352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 YORK AVE APT 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 YORK AVE APT 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286094",
            "telephone_number": "914-462-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTZER",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "BELTZER",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adele Theresa Beltrani
• Amanda Beltrani, PHD
• Jennifer Beltrani, LAC
• Melba Beltre, MD
• Paula Beltrone, LCSW
• Beluga Health PC
• Paul Bernard Belusko, D.D.S.
• Daniel Belz, MD
• Cheryl Belzer
• Reuben Ben David

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.