Organization Active NPI

Bethel Center for Psychotherapy

  • Clinical Psychologist
  • Wheaton, IL
National Provider Identifier
1285859751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BETHEL CENTER FOR PSYCHOTHERAPY
Practice address
213 W Wesley St
Suite 204
Wheaton, IL 60187-5135
Phone
(630) 681-1900
Fax
(630) 462-7669
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Betty Anne Riley, PSY.D.NPI 1275758500
Title
Clinical Director Clinical Psychol
Phone
(630) 681-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X IL Primary

Addresses

Primary practice location

213 W Wesley St
Suite 204
Wheaton, IL 60187-5135

Mailing address

213 W Wesley St
Suite 204
Wheaton, IL 60187-5135
Phone (630) 681-1900

Other identifiers 1

IdentifierTypeStateIssuer
02221477OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

213 W Wesley St
Ste 204
Wheaton, IL 60187
Phone (630) 681-1850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285859751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W WESLEY ST",
            "address_2": "SUITE 204",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875135",
            "telephone_number": "630-681-1900",
            "fax_number": "630-462-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W WESLEY ST",
            "address_2": "SUITE 204",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875135",
            "telephone_number": "630-681-1900",
            "fax_number": "630-462-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL CENTER FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR  CLINICAL PSYCHOL",
        "authorized_official_telephone_number": "630-681-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02221477",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.