Individual provider Active NPI

Michael A. Belus, PSY.D. PC

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1639112899
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1367 Issued in AZ
Practice address
2266 S Dobson Rd
Suite 200
Mesa, AZ 85202-6488
Phone
(480) 481-9042
NPI assigned
Jun 14, 2006
Last updated
May 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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 1367 AZ Primary

Addresses

Primary practice location

2266 S Dobson Rd
Suite 200
Mesa, AZ 85202-6488

Mailing address

2266 S Dobson Rd
Suite 200
Mesa, AZ 85202-6488
Phone (480) 481-9042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150527002539 AZ Practitioner - Clinical Psychologist 3476873712 Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2266 S Dobson Rd
Suite 200
Mesa, AZ 85202-6412
Phone (480) 481-9042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1367AZMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1639112899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD",
            "address_2": "SUITE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026488",
            "telephone_number": "480-481-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD",
            "address_2": "SUITE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026488",
            "telephone_number": "480-481-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELUS",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D. PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.