Individual provider Active NPI

Belinda Diane De Shay, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1811201924
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21101 Issued in CA
Practice address
1707 Eye St Ste 100
Bakersfield, CA 93301-5208
Phone
(818) 834-0556
Fax
(512) 985-5338
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21101 CA Primary

Addresses

Primary practice location

1707 Eye St Ste 100
Bakersfield, CA 93301-5208

Mailing address

1707 Eye St Ste 100
Bakersfield, CA 93301-5208
Phone (818) 439-1474

Other practice location 1

1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025
Phone (661) 310-3688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104000851 CA Practitioner - Nurse Practitioner 2567764848 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21101CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Valley Health Center CurrentSince Apr 23, 2018 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Aug 2, 2021 Accepting new patients
Embrace Your Healing Behavioral Health Psychiatric/Mental Health CurrentSince Feb 2, 2022 Accepting new patients
Sacramento Native American Health Center Inc CurrentSince Jan 27, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
Psychiatric Medical Practitioners, Inc. Psychiatry Past Accepting new patients

Locations

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

15720 Ventura Blvd
Ste 609
Encino, CA 91436
Phone (818) 385-3500

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

2020 J St
Sacramento, CA 95811
Phone (916) 341-0575

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1811201924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 EYE ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015208",
            "telephone_number": "818-439-1474",
            "fax_number": "512-985-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 EYE ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015208",
            "telephone_number": "818-834-0556",
            "fax_number": "512-985-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 E Shaw Ave Ste 139",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937108025",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SHAY",
        "first_name": "BELINDA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.