Individual provider Active NPI

Beth Welsh

  • School Psychologist
  • Belleville, IL
National Provider Identifier
1821514514
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
250 Illini Dr
Belleville, IL 62223-3322
Phone
(618) 538-6114
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

250 Illini Dr
Belleville, IL 62223-3322

Mailing address

2411 Pathways Xing
Belleville, IL 62221-5885

Other practice location 1

206 E Fulton St
Marissa, IL 62257-1564
Phone (618) 295-2339

Other practice location 2

7401 Westchester Dr
Belleville, IL 62223-2635
Phone (618) 397-6557

Other practice location 3

300 School View Dr
Marissa, IL 62257-2600
Phone (618) 295-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821514514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PATHWAYS XING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ILLINI DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233322",
            "telephone_number": "618-538-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 E Fulton St",
            "address_purpose": "LOCATION",
            "city": "Marissa",
            "state": "IL",
            "postal_code": "622571564",
            "country_code": "US",
            "telephone_number": "618-295-2339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 Westchester Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622232635",
            "country_code": "US",
            "telephone_number": "618-397-6557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 School View Dr",
            "address_purpose": "LOCATION",
            "city": "Marissa",
            "state": "IL",
            "postal_code": "622572600",
            "country_code": "US",
            "telephone_number": "618-295-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSH",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.