Active NPI
Haim Belzer, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1851449375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8146
- Practice address
- 4540 Kearny Villa Rd
Suite 215
San Diego, CA 92123-1571 - Phone
- (858) 278-0203
- Fax
- (858) 278-4972
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY8146 | CA | Primary |
Addresses
Primary practice location
4540 Kearny Villa Rd
Suite 215
San Diego, CA 92123-1571
Mailing address
4540 Kearny Villa Rd
Suite 215
San Diego, CA 92123-1571
Phone (858) 278-0203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY8146 | Other | CA | LICENSE NUMBER |
| PU0081460 | Medicaid | CA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4550 Kearny Villa Rd
Suite 109
San Diego, CA 92123-1574
Phone (858) 278-0203
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belzer & Grunhaus-Belzer Psychological Corporation | Clinical | Current | Accepting new patients |
Locations
4550 Kearny Villa Rd
Ste 109
San Diego, CA 92123
Phone (858) 278-0203
Organizations & group practices 1
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.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1558411686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851449375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 KEARNY VILLA RD",
"address_2": "SUITE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231571",
"telephone_number": "858-278-0203",
"fax_number": "858-278-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 KEARNY VILLA RD",
"address_2": "SUITE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231571",
"telephone_number": "858-278-0203",
"fax_number": "858-278-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELZER",
"first_name": "HAIM",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PSY8146",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PU0081460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.