Active NPI
Bethany A Pallas, LLP
- Psychologist
- Clarkston, MI
National Provider Identifier
1285231266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009122
- Practice address
- 6770 Dixie Hwy Ste 314
Clarkston, MI 48346-5114 - Phone
- (248) 270-5395
- NPI assigned
- Oct 3, 2020
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362009122 | MI | Primary |
Addresses
Primary practice location
6770 Dixie Hwy Ste 314
Clarkston, MI 48346-5114
Mailing address
730 S Dayton St
Davison, MI 48423-1716
Phone (810) 333-3860
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009122 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1285231266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 S DAYTON ST",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231716",
"telephone_number": "810-333-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 DIXIE HWY STE 314",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483465114",
"telephone_number": "248-270-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLAS",
"first_name": "BETHANY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-03",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.