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

Last updated

Mar 21, 2025By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Siskiyou Hospital, Inc.

  dba Fairchild Medical Center

  • Critical Access Hospital
  • Yreka, CA
  • NPI 1093892275
  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"
        }
    ]
}

• Suraa Asmaeil
• Assisted Living Concepts Inc (Rosewind House)
• Lily Balanoff
• Tina U Bandekar
• Monique Victoria Barber, PHD, LPC
• Matthew M Bender, MD
• Bennett Medical Services
• Bloom Idaho LLC (AFC Urgent Care)
• Marcee Michelle Boggs, ED.D.
• Boise Experiential Therapy Collective

• Clinical Psychologist in Garden City, ID
• Providers in Garden City, ID by specialty
• 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.