Active NPI
Mary Colette Belanger, M.D., PH.D.
- Psychologist
- Detroit, MI
National Provider Identifier
1952424715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MI6301003716
- Practice address
- 18011 Hamilton Rd
Detroit, MI 48203-4013 - Phone
- (313) 278-6100
- Fax
- (313) 438-0214
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | MI6301003716 | MI | Primary |
Addresses
Primary practice location
18011 Hamilton Rd
Detroit, MI 48203-4013
Mailing address
18011 Hamilton Rd
Detroit, MI 48203-4013
Phone (313) 278-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100524000410 | MI | Practitioner - Clinical Psychologist | 0244369643 | Practice locations: Detroit, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18011 Hamilton Rd
Detroit, MI 48203-4013
Phone (313) 278-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI6301003716 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1952424715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18011 HAMILTON RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482034013",
"telephone_number": "313-278-6100",
"fax_number": "313-438-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18011 HAMILTON RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482034013",
"telephone_number": "313-278-6100",
"fax_number": "313-438-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANGER",
"first_name": "MARY",
"middle_name": "COLETTE",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "MI6301003716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.