Individual provider Active NPI

Bethdalie Cruz, PHD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1366324220
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSYC.00016087 Issued in CO
Practice address
5525 Erindale Dr Ste 217C
Colorado Springs, CO 80918-6962
Phone
(719) 413-6930
Fax
(719) 247-3940
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSYC.00016087 CO Primary

Addresses

Primary practice location

5525 Erindale Dr Ste 217C
Colorado Springs, CO 80918-6962

Mailing address

5525 Erindale Dr Ste 217C
Colorado Springs, CO 80918-6962
Phone (719) 413-6930

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSYC.00016087COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bettermint LLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

5525 Erindale Dr
Ste 217C
Colorado Springs, CO 80918
Phone (719) 413-6930

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1366324220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ERINDALE DR STE 217C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186962",
            "telephone_number": "719-413-6930",
            "fax_number": "719-247-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ERINDALE DR STE 217C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186962",
            "telephone_number": "719-413-6930",
            "fax_number": "719-247-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BETHDALIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSYC.00016087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.