| Belmont Psychological Services, A Psychology Corporation | |
|
6615 E Pacific Coast Hwy Suite 255 Long Beach CA 90803-4211 | |
| (562) 799-6700 | |
| (562) 799-6733 |
| Full Name | Belmont Psychological Services, A Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 6615 E Pacific Coast Hwy, Long Beach, California |
| Authorized Official Name and Position | Kathryn Manetta (OWNER) |
| Authorized Official Contact | 5627996700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belmont Psychological Services, A Psychology Corporation 6615 E Pacific Coast Hwy Suite 255 Long Beach CA 90803-4211 Ph: (562) 799-6700 | Belmont Psychological Services, A Psychology Corporation 6615 E Pacific Coast Hwy Suite 255 Long Beach CA 90803-4211 Ph: (562) 799-6700 |
| NPI Number | 1194104562 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Medicare PECOS PAC ID | 3870805849 |
|---|---|
| Medicare Enrollment ID | O20150709000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194104562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY22795 (California) | Primary |
| Provider Name | Kathryn Manetta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265658454 PECOS PAC ID: 9830234210 Enrollment ID: I20100310000341 |
| Provider Name | Michelle Lucy Beakey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083026686 PECOS PAC ID: 7113231895 Enrollment ID: I20150810000755 |
| Provider Name | Nancy Cano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386082337 PECOS PAC ID: 7214330067 Enrollment ID: I20210730001568 |
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