Bethany a Shaw Psychological Services, LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5212 Issued in OH

Legal business name

BETHANY A SHAW PSYCHOLOGICAL SERVICES, LTD

Practice address

107 E College Ave Ste 101
Westerville, OH 43081-1613

Phone

(614) 794-3138

Fax

(614) 794-3175

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bethany Ann Shaw, PSY.D.NPI 1154489276

Title

Clinical Psychologist

Phone

(614) 794-3138

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Bethany Ann Shaw, PSY.D.

  • Clinical Psychologist
  • Westerville, OH
  • NPI 1154489276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1396977286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E COLLEGE AVE STE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811613",
            "telephone_number": "614-794-3138",
            "fax_number": "614-794-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E COLLEGE AVE STE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811613",
            "telephone_number": "614-794-3138",
            "fax_number": "614-794-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY A SHAW PSYCHOLOGICAL SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-794-3138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Bertsch
• Comfort Besingi
• Best Care Assisted Living LLC
• Best Sunshine Group LLC
• Best Sunshine Healthcare LLC
• Pascaline Nangeh Bettah, LPN
• Olivia Bevilacqua, LPC
• Mary Catherine Bevins, R.N.
• Michael J Bezbatchenko, DDS
• Sunil V Bhat, MD

• Clinical Psychologist in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.