Active NPI
Irma Sofia Beltran, PH.D.
- Clinical Psychologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33719
- 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, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213753102 | Medicaid | TX | |
| 213753101 | Medicaid | TX |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Sa I, LLC | Clinical | Current | Accepting new patients |
| Senior Psychological Care I, LLC | Clinical | Current | Accepting new patients |
| Senior Psychological Care Dallas I, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.