Active NPI
Michael Belyea, MA
- Psychologist
- Burlington, VT
National Provider Identifier
1649790676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 047.0102160
- Practice address
- 112 Lake St
Burlington, VT 05401-5284 - Phone
- (802) 999-4739
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 047.0102160 | VT | Primary |
Addresses
Primary practice location
112 Lake St
Burlington, VT 05401-5284
Mailing address
12 McGregor St
Essex Junction, VT 05452-3740
Phone (802) 999-4739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 17, 2025 through Oct 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047.0102160 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1649790676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MCGREGOR ST",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523740",
"telephone_number": "802-999-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LAKE ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015284",
"telephone_number": "802-999-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELYEA",
"first_name": "MICHAEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "047.0102160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.