Beth Ann Bastien, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

966410 Issued in IN

Practice address

6501 Sunnyside Rd
Indianapolis, IN 46236-9707

Phone

(317) 423-8226

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1164864682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 SUNNYSIDE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369707",
            "telephone_number": "317-423-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 SUNNYSIDE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369707",
            "telephone_number": "317-423-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "1107273",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "966410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS AND INDIANA CERTIFICATIONS",
            "identifier": "966410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATIONS",
            "identifier": "1107273",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Bassett
• Richard P Bassi, CAA
• Derek Bast, DO
• Emma Basta
• Richard James Bastian, MD
• Brooke Bastin
• Abigail Bastnagel
• James P Bastnagel, MD
• Edward J Bastyr III, MD
• Maite Bastyr, MD

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.