Bethany Casarjian, PH.D.
Individual provider Active NPI Psychologist · Weston, MA
NPI 1093338097 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1093338097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 9137 (MA)
- Practice address
- 73 Ash St
Weston, MA 02493-1943 - Phone
- (781) 894-2313
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9137 | MA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9137 | MA | Yes |
Addresses
Primary practice location
73 Ash St
Weston, MA 02493-1943
Mailing address
73 Ash St
Weston, MA 02493-1943
Phone (781) 894-2313
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | beth@lionheart.org | Direct | |
| CONNECT URL | beth@lionheart.org | Direct |
Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.