BETHELHEM BELACHEW
NPI 1245075142
Psychologist - Clinical Child & Adolescent in Dallas, TX

Q: What is Bethelhem Belachew's NPI number?

The NPI number for Bethelhem Belachew is 1245075142. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Q: What is Bethelhem Belachew's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since July 01, 2024PECOS Enrolled

1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-7000 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bethelhem Belachew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHELHEM BELACHEW (NPI 1245075142) is an individual clinical child & adolescent provider in Dallas, Texas, licensed in Texas (40136) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245075142

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameBETHELHEM BELACHEW

Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701

Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 456-7000

Phone(214) 456-7000

Sole ProprietorNo

Enumeration DateJuly 1, 2024

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1245075142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in TX · 40136

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethelhem Belachew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bethelhem Belachew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health System Of Texas

Same address

Children

1935 MEDICAL DISTRICT DR
Dallas, TX 75235

Reassigned Medicare billing, Texas enrollment
157 clinicians in this Medicare group

NPI 1194743013 (214) 456-1900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA ANNA JONES CPNP-AC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (973) 801-0173

CASSIE ANN LAURENCE PA-C

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MICHELE WILLET RYLANDER RN, MSN, CPNP

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MR. ADAM CHRISTOPHER WENNER CPNP-AC

Nurse Practitioner (Pediatrics, Critical Care)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (469) 303-7000

RICHARD DAVID SENTELLE D.M.D./PH.D.

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235

Dallas County (214) 456-2735

KELSEY NICOLE BURKHART PA

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

RENAE JEAN WHITE MD

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-2735

VICTORIA LEE CPNP-AC/PC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethelhem Belachew's NPI number?

The NPI number for Bethelhem Belachew is 1245075142. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Bethelhem Belachew located?

Bethelhem Belachew practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-7000.

What is Bethelhem Belachew's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Bethelhem Belachew enrolled in Medicare?

Yes. Bethelhem Belachew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethelhem Belachew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethelhem Belachew reassigns Medicare benefits to Children's Health System Of Texas (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethelhem Belachew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethelhem Belachew was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.