Active NPI
Beth Louise Fineberg, PH.D.
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1396742441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20010207A
- Practice address
- 450 Wellington Rd
Indianapolis, IN 46260-4620 - Phone
- (317) 872-4158
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0441 | NC | |
| Clinical Psychologist | 103TC0700X | 20010207A | IN | Primary |
Addresses
Primary practice location
450 Wellington Rd
Indianapolis, IN 46260-4620
Mailing address
2020 W 86TH St
Suite 301
Indianapolis, IN 46260-1969
Phone (317) 872-4158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239130A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050418000844 | IN | Practitioner - Clinical Psychologist | 5799723151 | Practice locations: Indianapolis, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
450 Wellington Rd
Indianapolis, IN 46260-4620
Phone (317) 872-4158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20010207A | IN | MD | Clinical Psychologist |
| 0441 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1396742441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"address_2": "SUITE 301",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601969",
"telephone_number": "317-872-4158",
"fax_number": "317-872-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WELLINGTON RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462604620",
"telephone_number": "317-872-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINEBERG",
"first_name": "BETH",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0441",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20010207A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100239130A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.