Individual provider Active NPI

Orly Ernestina Beldner-Belteu, PSY.D

  • Clinical Psychologist
  • Vero Beach, FL
National Provider Identifier
1790749588
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6603 Issued in FL
Practice address
6155 57TH CT
Vero Beach, FL 32967-5399
Phone
(954) 242-0047
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6603 FL
Clinical Psychologist 103TC0700X PY6603 FL Primary

Addresses

Primary practice location

6155 57TH CT
Vero Beach, FL 32967-5399

Mailing address

6155 57TH CT
Vero Beach, FL 32967-5399
Phone (954) 242-0047

Other practice location 1

7481 W Oakland Park Boulevard
Suite 100
Oakland, FL 33319-4985
Phone (954) 771-7743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131031000111 FL Practitioner - Clinical Psychologist 7113919218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6603FLMDClinical Psychologist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Good Mood Psychology Inc. Clinical CurrentSince Jan 1, 2023 Accepting new patients
Center for Clinical & Forensic Psychology Inc Clinical PastSince Sep 10, 2004 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1790749588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 57TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675399",
            "telephone_number": "954-242-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 57TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675399",
            "telephone_number": "954-242-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7481 W Oakland Park Boulevard",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "FL",
            "postal_code": "333194985",
            "country_code": "US",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELDNER-BELTEU",
        "first_name": "ORLY",
        "middle_name": "ERNESTINA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6603",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.