Albert John Bellg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2382-057 Issued in WI

Practice address

1620 S Lawe St
Appleton, WI 54915-2400

Phone

(920) 996-0887

Fax

(920) 799-4714

NPI assigned

May 11, 2006

Last updated

Jun 6, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifepath, LLC

  • Psychologist
  • Appleton, WI
  • NPI 1407172299
  NPD (past) Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1821048943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S LAWE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152400",
            "telephone_number": "920-996-0887",
            "fax_number": "920-799-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S LAWE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152400",
            "telephone_number": "920-996-0887",
            "fax_number": "920-799-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLG",
        "first_name": "ALBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2382-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Bejvan, M.D.
• Wendy Bekx, RDH
• Emily J Bell, LPC
• Jeffrey Alan Bell, DDS
• Nicole L Bell, PT
• Laurin A Bellg, MD
• Helen Catherine Belling, LPN
• Kayode Jibril Bello, M.D., M.P.H.
• Waheed Bello
• Emily Belongia, LPC

• Clinical Psychologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.