Belong Psychotherapy Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BELONG PSYCHOTHERAPY INC

Practice address

250 W Main St Ste 103
Tustin, CA 92780-7717

Phone

(657) 214-4787

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Nina Tilka, PHDNPI 1730716564

Title

Psychologist

Phone

(657) 214-4787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nina Tilka

  • Clinical Psychologist
  • Tustin, CA
  • NPI 1730716564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1790409852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5304",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926155304",
            "telephone_number": "657-214-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807717",
            "telephone_number": "657-214-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELONG PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "TILKA",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "657-214-4787",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Signe M Belden, DDS
• Bella Milagros Inc
• Joshua Bravo Beltran, DC
• Sarai Sanchez Benitez
• Bernard Leroy Bennett, MD
• Brendan Bennett
• Rachel Benson, LCSW

• Adult Mental Health Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.