Active NPI
Belethia Lovise Myers, PH.D.
- Clinical Psychologist
- Palmdale, CA
National Provider Identifier
1659490993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- RPS2007057
- Practice address
- 1529 E Palmdale Blvd
Suite 210
Palmdale, CA 93550-2034 - Phone
- (661) 272-9996
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | RPS2007057 | CA | Primary |
Addresses
Primary practice location
1529 E Palmdale Blvd
Suite 210
Palmdale, CA 93550-2034
Mailing address
2138 Tangerine St
Palmdale, CA 93551-6226
Phone (661) 267-6080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBSC249 | Other | CA | LA DMH PROVIDER |
| 00007301 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPS2007057 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Palmdale, CA
- NPI 1609902436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659490993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 TANGERINE ST",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935516226",
"telephone_number": "661-267-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD",
"address_2": "SUITE 210",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502034",
"telephone_number": "661-272-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "BELETHIA",
"middle_name": "LOVISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "RPS2007057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "CBSC249",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.