Elizabeth Bjick-Larsen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016138 Issued in PA

Practice address

225 S Chester Rd Ste 4
Swarthmore, PA 19081-1919

Phone

(484) 597-1122

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Betsy Bjick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rising Sun Psychological LLC

  • Clinical Psychologist
  • Swarthmore, PA
  • NPI 1770141996
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1184222929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BRYN MAWR AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812412",
            "telephone_number": "610-544-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CHESTER RD STE 4",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811919",
            "telephone_number": "484-597-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJICK-LARSEN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "BJICK",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea L Belasco, MD
• Heather Mary Bellini, M.A., L.P.C.
• Elizabeth Berman
• Valerie Bevilacqua
• Bio-Medical Applications of Pennsylvania, Inc. (Swarthmore Dialysis Center)
• Neal Edward Bozentka, D.M.D.
• Virginia Brabender Virginia Brabender, PH.D.
• Breast Assured Lactation LLC
• John Brodsky, M.D.
• Shaneen Brown, BS

• Clinical Psychologist in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.