Individual provider Active NPI

Haim Belzer, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1851449375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8146 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PSY8146OtherCALICENSE NUMBER
PU0081460MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000390 CA Practitioner - Clinical Psychologist 5092909119 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Belzer & Grunhaus-Belzer Psychological Corporation Clinical CurrentSince Dec 1, 1999 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.

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

Verify at the official NPI Registry.