| Katherine Rose Bellesheim, PHD | |
|
593 Eddy St Ste 430, Providence, RI 02903-4923 | |
| (401) 444-4500 | |
| Not Available |
| Full Name | Katherine Rose Bellesheim |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 593 Eddy St Ste 430, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508405275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS02069 (Rhode Island) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Rose Bellesheim, PHD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (918) 588-1900 | Katherine Rose Bellesheim, PHD 593 Eddy St Ste 430, Providence, RI 02903-4923 Ph: (401) 444-4500 |
Julie Elizabeth Morris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709 | |
Alexandrea L Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Holden St, Providence, RI 02908 Phone: 401-453-7640 Fax: 401-453-7646 | |
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050 | |
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742 | |
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463 | |
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100 | |
Dr. Andrew Jonah Taytslin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Richmond Sq Ste 300e, Providence, RI 02906 Phone: 401-349-3131 |