James Alexander Bettag, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11550 Issued in FL

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1135

Phone

(352) 548-6720

NPI assigned

Feb 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associates in Counseling and Psychotherapy

  • Clinical Psychologist
  • New Albany, IN
  • NPI 1801948062
  NPD (past)
• Associates in Counseling and Psychtherapy

  • Community/Behavioral Health Agency
  • New Albany, IN
  • NPI 1114330271
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1114484094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10439 SW 49TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087159",
            "telephone_number": "502-295-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-548-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTAG",
        "first_name": "JAMES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-27",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Antonio Betancourt, DNP, CRNA
• Beth Shubert, PA
• Sally Bethart, ARNP
• Joanne Natalie Bethencourt, DO
• Betsy Beers MD PA
• Douglas Robert Bettarelli, MD
• Dalice J Betterson-Smith
• Lana Betts
• Megan L Beveridge, LCSW
• Steven Edmond Beverly, LMSW

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.