Gerald F. Bellettirie, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003646-L Issued in PA

Practice address

920 N Broad St
Lansdale, PA 19446-2351

Phone

(215) 362-1280

NPI assigned

Oct 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790874733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462351",
            "telephone_number": "215-362-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462351",
            "telephone_number": "215-362-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLETTIRIE",
        "first_name": "GERALD",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003646-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "BE189307",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helene Mary Bednarek-O'Mara, RPH
• Donald C Bedrosian, DDS
• Mahdia Begriche, PTA
• Behavioral Health Integrative Care of PA PC
• Behavioral Pediatrics and ABA Therapy Associates, LLC.
• Julie Belling
• Katirah Belton
• Djamil Clark Benchouk, COTA/L
• Shannon Bender, LCSW
• Ruth Benfield, MSN, CRNP

• Clinical Psychologist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.