Mariana Belvedere, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1304 Issued in KY

Practice address

503 Centre View Blvd.
MCB Behavioral Health
Crestview Hills, KY 41017-3444

Phone

(859) 426-7800

Fax

(859) 426-7804

NPI assigned

Dec 2, 2005

Last updated

Sep 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• MCB Behavioral Health, P.L.L.C.

  • Clinical Psychologist
  • Crestview Hills, KY
  • NPI 1336330422
  Medicare reassignment NPD Authorized official
• Neuroscience and Behavioral Health Associates

  • Clinical Neuropsychologist
  • Crestview Hills, KY
  • NPI 1346431434
  NPD (past)
• The Counseling Source, Inc.

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1700841244
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1942284963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CENTRE VIEW BLVD.",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173444",
            "telephone_number": "859-426-7800",
            "fax_number": "859-426-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CENTRE VIEW BLVD.",
            "address_2": "MCB BEHAVIORAL HEALTH",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173444",
            "telephone_number": "859-426-7800",
            "fax_number": "859-426-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELVEDERE",
        "first_name": "MARIANA",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1304",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "770614456",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89000863",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip S. Becker, M.D.
• Beiting Family Dentistry
• Daniel Joseph Beiting Sr., D.M.D.
• Elizabeth Anne Beiting, RDH
• Katherine K Beiting, D.M.D.
• Cyril Philip Benjamin, D.C.
• Haley Ryan Bezold
• Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Edgewood)
• Heather Marie Birk, FNP-BC, BSN, RN
• Alissa Bishop, APRN, FNP-C

• Clinical Psychologist in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.

Verify at the official NPI Registry.