Organization Active NPI

Stephen T. Belk Psy.D. PLLC

  • Psychologist
  • Burnet, TX
National Provider Identifier
1598280497
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33688 Issued in TX
Legal business name
STEPHEN T. BELK PSY.D. PLLC
Practice address
409 Industrial Blvd Ste 300
Burnet, TX 78611-4557
Phone
(830) 596-0377
Fax
(888) 247-6536
NPI assigned
Aug 11, 2017
Last updated
Jul 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Dr. Stephen Taylor Belk, PSY.D.
Title
Managing Member
Phone
(830) 590-0377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 33688 TX Primary

Addresses

Primary practice location

409 Industrial Blvd Ste 300
Burnet, TX 78611-4557

Mailing address

305 Onyx Dr
Horseshoe Bay, TX 78657-6340
Phone (830) 596-0377

Other identifiers 3

IdentifierTypeStateIssuer
1942219357MedicaidTX
1598280497OtherTXNPI2
1942219357OtherMONPI I

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sb@sbelkpsychology.com Direct

National Provider Directory

National Provider Directory

Locations

409 Industrial Blvd
Ste 300
Burnet, TX 78611
Phone (830) 596-0377

6400 W FM 2147
Ste 203B
Horseshoe Bay, TX 78657
Phone (830) 596-0377

3800 S W S Young Dr
Ste 407
Killeen, TX 76542
Phone (254) 252-3747

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1598280497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ONYX DR",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786576340",
            "telephone_number": "830-596-0377",
            "fax_number": "888-247-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 INDUSTRIAL BLVD STE 300",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786114557",
            "telephone_number": "830-596-0377",
            "fax_number": "888-247-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN T. BELK PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "BELK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "830-590-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942219357",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1598280497",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI I",
            "identifier": "1942219357",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sb@sbelkpsychology.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "409 Industrial Blvd Ste 300",
            "city": "Burnet",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786114557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.