Mariam Beshara, LPC., PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008043 Issued in VA

Practice address

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone

(808) 473-0822

NPI assigned

Nov 16, 2018

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mariam Beshara LPC., PSYD

  • Professional Counselor
  • West Palm Beach, FL
  • NPI 1053903732
  NPD Authorized official
• Beshara Psychological Services LLC

  • Clinical Psychologist
  • Aiea, HI
  • NPI 1538937636
  Authorized official Same address or phone
• Connecticut Behavioral Health, LLC

  • Professional Counselor
  • Cheshire, CT
  • NPI 1235171828
  NPD (past)

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1770052920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 STARWOOD CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065146",
            "telephone_number": "561-385-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-473-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHARA",
        "first_name": "MARIAM",
        "credential": "LPC., PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3616",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Basdavanos, R.N.
• Nikki Marie Bateman, MS-RN
• Britt Clark Bayles, PHARMD
• Jessica Denise Beard, CNM
• Samuel Beck, DMD
• Daniel Everett Bible, PA-C
• Francia Bergado Birulin, RN
• Elise Blackwood, RN
• Carrigan Blagburn, PA-C
• Bobbie Jo Patricia Blaskowski, RN

• Clinical Psychologist in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.