Individual provider Active NPI

Bethann Shoudt, PSYD

  • Clinical Psychologist
  • Reading, PA
National Provider Identifier
1265423362
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008614L Issued in PA
Practice address
4730A Perkiomen Ave
Reading, PA 19606-9521
Phone
(610) 898-1370
NPI assigned
Oct 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PS008614L PA Primary

Addresses

Primary practice location

4730A Perkiomen Ave
Reading, PA 19606-9521

Mailing address

67 Long Meadow Rd
Royersford, PA 19468-1853
Phone (610) 898-1370

Other identifiers 4

IdentifierTypeStateIssuer
1695774OtherPAINDEPENDENCE BC PERSONAL
718545OtherPAAETNA
355580OtherPAHIGHMARK BLUE SHIELD
50005216OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050307000134 PA Practitioner - Clinical Psychologist 1951355718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shoudt and Reilly Psychological Services, LLCGroup PAC ID 5698729457, 6 clinicians

Practice addresses (Care Compare)

6720 Perkiomen Ave
Birdsboro, PA 19508-9178
Phone (610) 404-1726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS008614LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoudt & Reilly Psychological Services, LLC Clinical CurrentSince Mar 1, 2005 Accepting new patients

Locations

6720 Perkiomen Ave
Birdsboro, PA 19508
Phone (610) 404-1726

4730A Perkiomen Ave
Reading, PA 19606
Phone (610) 898-1370

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": "1130630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265423362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LONG MEADOW RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681853",
            "telephone_number": "610-898-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730A PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069521",
            "telephone_number": "610-898-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUDT",
        "first_name": "BETHANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008614L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC PERSONAL",
            "identifier": "1695774",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "718545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "355580",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50005216",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.