Individual provider Active NPI

Bethany Michelle Zander, PSY.D.

  • Psychologist
  • Sherwood, OR
National Provider Identifier
1245572015
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
22344 SW Main St
Sherwood, OR 97140-9416
Phone
(219) 793-2360
Fax
(503) 625-3768
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2821 OR
Psychologist 103T00000X Primary

Addresses

Primary practice location

22344 SW Main St
Sherwood, OR 97140-9416

Mailing address

7965 SW 186TH Ave
Beaverton, OR 97007-5685
Phone (219) 793-2360

Other practice location 1

414 N Meridian St
Newberg, OR 97132-2697
Phone (503) 538-3838

Other names 1

  • Bethany Michelle Webb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2821ORMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245572015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 SW 186TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075685",
            "telephone_number": "219-793-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22344 SW MAIN ST",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409416",
            "telephone_number": "219-793-2360",
            "fax_number": "503-625-3768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971322697",
            "country_code": "US",
            "telephone_number": "503-538-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANDER",
        "first_name": "BETHANY",
        "middle_name": "MICHELLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2821",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WEBB",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.