Maya Sophia Belitski, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS2611 Issued in ME

Practice address

PO Box 9169 W. State Street
#2427
Garden City, ID 83714

Phone

(310) 869-1549

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Maya Odzelashvili Other name

Medicare fee-for-service enrollment

Enrolled in CA, ME2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Siskiyou Hospital, Inc.

  • Critical Access Hospital
  • Yreka, CA
  • NPI 1093892275

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1649465741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LINCOLN ST STE C",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111900",
            "telephone_number": "603-883-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 9169 W. STATE STREET",
            "address_2": "#2427",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "310-869-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELITSKI",
        "first_name": "MAYA",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30848",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "ODZELASHVILI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Assisted Living Concepts Inc
• Lily Balanoff
• Tina U Bandekar
• Monique Victoria Barber, PHD, LPC
• Janae Bekker, LPC, NCC
• Matthew M Bender, MD
• Bennett Medical Services
• Bloom Idaho LLC
• Marcee Michelle Boggs, ED.D.
• Boise Experiential Therapy Collective

• All providers in Garden City, ID
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.