Active NPI
Belen Mora-Byers, PSYD
- Clinical Psychologist
- South San Francisco, CA
National Provider Identifier
1780746040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 17818
- Practice address
- 1200 El Camino Real
Kaiser Permanente Child Psychiatry
South San Francisco, CA 94080 - Phone
- (650) 742-3933
- Fax
- (650) 742-7135
- NPI assigned
- Dec 14, 2006
- Last updated
- Aug 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 17818 | CA | Primary |
Addresses
Primary practice location
1200 El Camino Real
Kaiser Permanente Child Psychiatry
South San Francisco, CA 94080
Mailing address
1200 El Camino Real
Kaiser Permanente Child Psychiatry
South San Francisco, CA 94080
Phone (650) 742-3933
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17818 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1780746040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EL CAMINO REAL",
"address_2": "KAISER PERMANENTE CHILD PSYCHIATRY",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "94080",
"telephone_number": "650-742-3933",
"fax_number": "650-742-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EL CAMINO REAL",
"address_2": "KAISER PERMANENTE CHILD PSYCHIATRY",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "94080",
"telephone_number": "650-742-3933",
"fax_number": "650-742-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA-BYERS",
"first_name": "BELEN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 17818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.