Individual provider Active NPI

Nicholas Tim Betchel, DO

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1134625288
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A17799 Issued in CA
Practice address
2210 E Illinois Ave Ste 401
Fresno, CA 93701-2184
Phone
(559) 320-0580
Fax
(559) 320-0582
NPI assigned
Apr 5, 2018
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A17799 CA Primary

Addresses

Primary practice location

2210 E Illinois Ave Ste 401
Fresno, CA 93701-2184

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other practice location 1

1060 W Sierra Ave Ste 105
Fresno, CA 93711-2063
Phone (559) 437-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516000302 CA Practitioner - Pathology 8527445410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio-Behavioral Medical Clinics, IncGroup PAC ID 5395804140, 21 clinicians

Practice addresses (Care Compare)

7171 N Cedar Ave
Fresno, CA 93720-3311
Phone (559) 449-8000

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17799CAMDPsychiatry Physician
17799CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Bio-Behavioral Medical Clinics, Inc Psychiatry CurrentSince Jul 26, 2025 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

1060 W Sierra Ave
#104
Fresno, CA 93711
Phone (559) 437-1111

1060 W Sierra Ave
#105
Fresno, CA 93711
Phone (559) 437-1111

155 N Fresno St
Fresno, CA 93701
Phone (559) 499-6440

2210 E Illinois Ave
Ste 401
Fresno, CA 93701
Phone (559) 320-0531

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

7171 N Cedar Ave
Fresno, CA 93720
Phone (559) 449-2000

Interoperability endpoints

  • Direct secure messaging: nicholas.betchel.1@31788.direct.athenahealth.com

Organizations & group practices 4

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1134625288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-320-0580",
            "fax_number": "559-320-0582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 W Sierra Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112063",
            "country_code": "US",
            "telephone_number": "559-437-1111",
            "fax_number": "559-437-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETCHEL",
        "first_name": "NICHOLAS",
        "middle_name": "TIM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A17799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.