Raymond A. Bepko, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007918-1 Issued in NY

Practice address

26 Beverly PL
Utica, NY 13501-6122

Phone

(315) 794-9962

NPI assigned

Sep 18, 2008

Last updated

Sep 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Wellness Psychological Services, P.C.

  • Clinical Psychologist
  • Utica, NY
  • NPI 1982069985
  Authorized official Same address or phone
• Aa Psychology PLLC

  dba Thriving Center of Psychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1932975919

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1386893964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BEVERLY PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016122",
            "telephone_number": "315-794-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BEVERLY PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016122",
            "telephone_number": "315-794-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEPKO",
        "first_name": "RAYMOND",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007918-1",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "007918-1",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "007918-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007918-1",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NY",
            "license": "007918-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet G Benjamin, LCSW-R
• Leslie Ann Bennett-Mooney, RN
• Lauren Marie Bennett, CACI
• Madison Bennett
• Darlene Benson, LCSW
• Daniel Eric Berg, M.D.
• Jeremy J Berger, DO
• Ernest Jay Berkowitz, RPH
• Emily Michele Berle, DO
• Julie Betro Shkane, DO

• Psychologist in Utica, NY
• Providers in Utica, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.