Irm Bellavia, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

200200641 Issued in NC

Practice address

11111 Carmel Commons Blvd
Suite 220
Charlotte, NC 28226-5319

Phone

(704) 540-1488

Fax

(704) 540-0195

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1952560435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 CARMEL COMMONS BLVD",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265319",
            "telephone_number": "704-540-1488",
            "fax_number": "704-540-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 CARMEL COMMONS BLVD",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265319",
            "telephone_number": "704-540-1488",
            "fax_number": "704-540-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAVIA",
        "first_name": "IRM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "200200641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Michael Bellamy, DDS
• Jon Michael Bellamy, DDS
• Kalisha Bellamy, LCAS(A)
• Monquisha La'Nae Bellamy, LCSW
• Rachel Bellamy
• Ross Joseph Bellavia, M.D.
• Belle Home Health Care LLC
• Beverly Ann Vanessa Belle, MD
• Milca Bellegarde, CCC-SLP
• Christopher Beller, D.C.

• Child & Adolescent Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.