Individual provider Active NPI

Bethany Michele Zekveld, M. ED, ED.S, NCSP

  • School Psychologist
  • Indianapolis, IN
National Provider Identifier
1023836681
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1609579 Issued in IN
Practice address
975 N Post Rd
Indianapolis, IN 46219-5545
Phone
(317) 869-4300
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1609579 IN Primary

Addresses

Primary practice location

975 N Post Rd
Indianapolis, IN 46219-5545

Mailing address

975 N Post Rd
Indianapolis, IN 46219-5545
Phone (317) 869-4300

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1609579INMDSchool Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1023836681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N POST RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195545",
            "telephone_number": "317-869-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N POST RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195545",
            "telephone_number": "317-869-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKVELD",
        "first_name": "BETHANY",
        "middle_name": "MICHELE",
        "credential": "M. ED, ED.S, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1609579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.