Individual provider Active NPI

Beth M Karassik, PH.D

  • Clinical Psychologist
  • Cheshire, CT
National Provider Identifier
1215043054
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001832 Issued in CT
Practice address
1095 S Main St
Cheshire, CT 06410-3432
Phone
(203) 271-3809
Fax
(203) 272-6968
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001832 CT Primary

Addresses

Primary practice location

1095 S Main St
Cheshire, CT 06410-3432

Mailing address

1095 S Main St
Cheshire, CT 06410-3432
Phone (203) 271-3809

Other identifiers 2

IdentifierTypeStateIssuer
060001832CT01OtherCTANTHEM BLUE CROSS PROV #
004093233MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000060 CT Practitioner - Clinical Psychologist 5597763508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Neuropsychological Services PCGroup PAC ID 0143217810, 3 clinicians

Practice addresses (Care Compare)

1095 S Main St
Cheshire, CT 06410-3432
Phone (203) 271-3809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001832CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neuropsychological Services, P.C. Clinical CurrentSince Nov 1, 1993 Accepting new patients

Locations

1095 S Main St
Cheshire, CT 06410
Phone (203) 271-3809

Organizations & group practices 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1215043054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103432",
            "telephone_number": "203-271-3809",
            "fax_number": "203-272-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103432",
            "telephone_number": "203-271-3809",
            "fax_number": "203-272-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARASSIK",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PROV #",
            "identifier": "060001832CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004093233",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.