KATHERINE ROSE BELLESHEIM PH.D.
NPI 1508405275
Psychologist - Clinical in Grand Rapids, MI

Q: What is Katherine Bellesheim's NPI number?

The NPI number for Katherine Bellesheim is 1508405275. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Q: What is Katherine Bellesheim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment

235 WEALTHY ST SE, GRAND RAPIDS, MI 49503(616) 840-8668(616) 840-9762 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2025, Apr 5, 2024, Oct 4, 2022 and 1 more (4 updates tracked since 2019).

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About Katherine Rose Bellesheim Ph.d. NPPES

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

KATHERINE ROSE BELLESHEIM PH.D. (NPI 1508405275) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301019431) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508405275

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKATHERINE ROSE BELLESHEIMCredential: PH.D.

Location Address235 WEALTHY ST SEGrand Rapids, MI 49503-5247

Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 840-8668 · Fax (616) 840-9762

Phone(616) 840-8668

Fax(616) 840-9762

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 30, 2019

Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1508405275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MI · 6301019431✔ Licensed in RI · PS02069

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

235 WEALTHY ST SE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Rose Bellesheim Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264809060

PECOS Enrollment IDI20240408001433

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 Reassignments

Medicare enrollment records show Katherine Bellesheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Free Bed Rehabilitation Hospital

Same address

Rehabilitation Hospital

235 WEALTHY ST SE
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
209 clinicians in this Medicare group

NPI 1053550590 (616) 242-0300

Lifespan Physician Group, Inc.

733 mi

Psychiatry

593 EDDY STREET
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
315 clinicians in this Medicare group

NPI 1548506793 (401) 444-7442

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMY MCINTOSH

Speech-Language Pathologist