Kristen Bettencourt, PSYD, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KRISTEN BETTENCOURT, PSYD, LLC

Practice address

126 Prospect St Ste 5
Cambridge, MA 02139-2500

Phone

(617) 684-5153

Fax

(844) 208-1184

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Kristen Bettencourt, PSYDNPI 1578049037

Title

Psychologist

Phone

(617) 684-5153

Specialties & licenses 1

Addresses

Other names 1

• Kristen Bettencourt, PsyD Former legal business name

Locations

Practitioners 1

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

• Kristen E. Bettencourt, PSYD

  • Psychologist
  • Cambridge, MA
  • NPI 1578049037
  NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1497305312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FARWELL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017605819",
            "telephone_number": "617-803-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 5",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392500",
            "telephone_number": "617-684-5153",
            "fax_number": "844-208-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN BETTENCOURT, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "BETTENCOURT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-684-5153",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristen Bettencourt, PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kristen Bettencourt, PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Max Kravitz
• Joel Krieg, LICSW
• Maegan Krifchin, MS, OTR/L
• Kelsey Kringel, PT, DPT
• Carol F Kripke, ED.D
• Madison Krivickas, RN
• Adam Seth Kroloff, LICSW
• Lawrence Kron, PH.D.
• Elliot Kronstein, DDS
• Lindsey A Krueger-Grgurich, PHARMD, BCACP

• Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.