Active NPI
Beth A. Rhoads, PSY.D.
- Clinical Psychologist
- Wyncote, PA
National Provider Identifier
1003918814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- B1-0001000
- Practice address
- 121 Waverly Rd
Wyncote, PA 19095-1210 - Phone
- (215) 316-2255
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00152900 | NJ | |
| Professional Counselor | 101YP2500X | PC001745 | PA | |
| Clinical Psychologist | 103TC0700X | B1-0001000 | DE | Primary |
Addresses
Primary practice location
121 Waverly Rd
Wyncote, PA 19095-1210
Mailing address
121 Waverly Rd
Wyncote, PA 19095-1210
Phone (215) 316-2255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2321371000 | Other | PA | IBC |
| 7832313 | Other | PA | AETNA |
| 280626000 | Other | PA | KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00152900 | NJ | MD | Professional Counselor |
| PC001745 | PA | MD | Professional Counselor |
| B1-0001000 | DE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414800000000",
"number": "1003918814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WAVERLY RD",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190951210",
"telephone_number": "215-316-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WAVERLY RD",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190951210",
"telephone_number": "215-316-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "BETH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2014-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00152900",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC001745",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0001000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2321371000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7832313",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "280626000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyncote, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.