Laurie Joan Belzer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005119 Issued in IL

Practice address

1700 W Irving Park Rd Ste 309
Chicago, IL 60613-2462

Phone

(773) 405-0604

NPI assigned

Apr 7, 2007

Last updated

Mar 8, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 23, 2012 through Aug 23, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Laurie J. Belzer, PHD, PC

  dba Lakeshore Psychotherapy Alliance

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1154571255
  NPD (past) Authorized official

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1770606659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 W GIDDINGS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252001",
            "telephone_number": "773-405-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132462",
            "telephone_number": "773-405-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELZER",
        "first_name": "LAURIE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishita Belur
• Ma Eavonne Viloria Belvis, P.T.
• Francesco Belviso, PSY.D.
• Patrick George Belvitch, M.D.
• Kirsten Dana Belzer, LCSW
• Bemark, Inc. (Pearle Vision)
• Leigh-Anne Bemos
• Miriam Rose Ben Abdallah, MD
• Mor Ben Barak, M.D.
• Amanda Leigh Ben Jacob, APRN, CNP

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.