Individual provider Active NPI

Irma Sofia Beltran, PH.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1609042340
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33719 Issued in TX
Practice address
4314 Yoakum Blvd
Houston, TX 77006-5818
Phone
(713) 850-0049
Fax
(713) 627-7302
NPI assigned
May 2, 2008
Last updated
Aug 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33719 TX Primary

Addresses

Primary practice location

4314 Yoakum Blvd
Houston, TX 77006-5818

Mailing address

4314 Yoakum Blvd
Houston, TX 77006-5818
Phone (713) 850-0049

Other identifiers 2

IdentifierTypeStateIssuer
213753102MedicaidTX
213753101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091212000107 TX Practitioner - Clinical Psychologist 2365582905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care I LLCGroup PAC ID 1557535226, 9 clinicians

Practice addresses (Care Compare)

2121 Pinegate Dr
Houston, TX 77008-1388
Phone (713) 861-9952

4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone (713) 850-0049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Sa I, LLC Clinical CurrentSince Mar 1, 2017 Accepting new patients
Senior Psychological Care I, LLC Clinical CurrentSince Nov 17, 2011 Accepting new patients
Senior Psychological Care Dallas I, LLC Clinical CurrentSince Mar 1, 2017 Accepting new patients

Locations

11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4314 Yoakum Blvd
Houston, TX 77006
Phone 7138500049207

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

6150 South Loop E
Houston, TX 77087
Phone (713) 640-2400

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

4710 Lexington Blvd
Missouri City, TX 77459
Phone (281) 403-7433

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1609042340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065818",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065818",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "IRMA",
        "middle_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213753102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213753101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.