Individual provider Active NPI

Bethany Shikatani, PHD

  • Clinical Psychologist
  • Arlington, MA
National Provider Identifier
1386002483
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10256 Issued in MA
Practice address
226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449
Phone
(617) 977-4770
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 10256 MA Primary

Addresses

Primary practice location

226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449

Mailing address

226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10256MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Psychology Group, Inc Clinical CurrentSince Feb 12, 2023 Accepting new patients
Center for Anxiety and Related Disorders at Boston University Past Accepting new patients

Locations

226 Massachusetts Ave
Ste 2A
Arlington, MA 02474
Phone (617) 977-4650

Organizations & group practices 2

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1386002483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MASSACHUSETTS AVE STE 2A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MASSACHUSETTS AVE STE 2A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748449",
            "telephone_number": "617-977-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKATANI",
        "first_name": "BETHANY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.