Provider Demographics
NPI:1548541527
Name:BELLIN, ARIELA (PSYD)
Entity type:Individual
Prefix:
First Name:ARIELA
Middle Name:
Last Name:BELLIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GREAT NECK RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3308
Mailing Address - Country:US
Mailing Address - Phone:516-690-7793
Mailing Address - Fax:
Practice Address - Street 1:1 GREAT NECK RD
Practice Address - Street 2:SUITE 2
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3308
Practice Address - Country:US
Practice Address - Phone:516-690-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019792103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical