Active NPI
Joann M. Bello, PH.D.
- Psychologist
- Oyster Bay, NY
National Provider Identifier
1962698480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015388
- Practice address
- 185 South St.
#103
Oyster Bay, NY 11771-2254 - Phone
- (516) 661-9429
- NPI assigned
- Sep 18, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015388 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 015388 | NY | |
| Psychologist | 103T00000X | 015388 | NY | Primary |
| Family Psychologist | 103TF0000X | 015388 | NY | |
| Group Psychotherapy Psychologist | 103TP2701X | 015388 | NY |
Addresses
Primary practice location
185 South St.
#103
Oyster Bay, NY 11771-2254
Mailing address
185 South St.
#103
Oyster Bay, NY 11771-2254
Phone (516) 661-9429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200611002443 | NY | Practitioner - Clinical Psychologist | 2466874862 | Practice locations: Oyster Bay, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1962698480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SOUTH ST.",
"address_2": "#103",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712254",
"telephone_number": "516-661-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SOUTH ST.",
"address_2": "#103",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712254",
"telephone_number": "516-661-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "JOANN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015388",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "015388",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015388",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "015388",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NY",
"license": "015388",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.