| Belong Psychotherapy Inc | |
|
250 W Main St Ste 103 Tustin CA 92780-7717 | |
| (657) 214-4787 | |
| Not Available |
| Full Name | Belong Psychotherapy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 W Main St Ste 103, Tustin, California |
| Authorized Official Name and Position | Nina Tilka (PSYCHOLOGIST) |
| Authorized Official Contact | 6572144787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belong Psychotherapy Inc Po Box 5304 Huntington Beach CA 92615-5304 Ph: (657) 214-4787 | Belong Psychotherapy Inc 250 W Main St Ste 103 Tustin CA 92780-7717 Ph: (657) 214-4787 |
| NPI Number | 1790409852 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 0840652038 |
|---|---|
| Medicare Enrollment ID | O20230822002469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790409852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nina Tilka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730716564 PECOS PAC ID: 3779913371 Enrollment ID: I20200422002689 |
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