Active NPI
Bethany Claes, PSY.D.
- Psychologist
- Fairport, NY
National Provider Identifier
1063792190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019234
- Practice address
- 620 Crosskeys Office Park
Fairport, NY 14450-3508 - Phone
- (585) 223-5920
- Fax
- (585) 223-5727
- NPI assigned
- Aug 21, 2011
- Last updated
- Apr 11, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019234 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 019234 | NY | |
| School Psychologist | 103TS0200X | 019234 | NY |
Addresses
Primary practice location
620 Crosskeys Office Park
Fairport, NY 14450-3508
Mailing address
620 Crosskeys Office Park
Fairport, NY 14450-3508
Phone (585) 223-5920
Other names 1
- Bethany Smith
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 |
|---|---|---|---|
| 019234 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Psychological Associates PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1063792190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CROSSKEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503508",
"telephone_number": "585-223-5920",
"fax_number": "585-223-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CROSSKEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503508",
"telephone_number": "585-223-5920",
"fax_number": "585-223-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAES",
"first_name": "BETHANY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-21",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019234",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "019234",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "019234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.