Organization Active NPI

Anna Maria Bellatin PC

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1629207709
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
R0463 Issued in MO
Legal business name
ANNA MARIA BELLATIN PC
Practice address
411 Nichols Rd
Suite 217
Kansas City, MO 64112
Phone
(816) 931-9912
Fax
(816) 561-5352
NPI assigned
Jul 9, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anna Maria Bellatin
Title
Owner
Phone
(816) 931-9912

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

800 W 47th St
Ste 630
Kansas City, MO 64112
Phone (816) 756-1722

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X R0463 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

411 Nichols Rd
Suite 217
Kansas City, MO 64112

Mailing address

411 Nichols Rd
Suite 217
Kansas City, MO 64112
Phone (816) 931-9912

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
498032200MedicaidMO
24649022OtherBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2009.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1629207709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 217",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-931-9912",
            "fax_number": "816-561-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 217",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-931-9912",
            "fax_number": "816-561-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA MARIA BELLATIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BELLATIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-931-9912"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "R0463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498032200",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24649022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.