Individual provider Active NPI

Beth Kirsten McCreary, PH.D.

  • Cognitive & Behavioral Psychologist
  • Worthington, OH
National Provider Identifier
1619930633
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
5851 Issued in OH
Practice address
6797 N High St Ste 214
Worthington, OH 43085-2533
Phone
(614) 436-5030
Fax
(614) 436-4830
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5851 OH
Cognitive & Behavioral Psychologist 103TB0200X 5851 OH Primary

Addresses

Primary practice location

6797 N High St Ste 214
Worthington, OH 43085-2533

Mailing address

6797 N High St Ste 214
Worthington, OH 43085-2533
Phone (614) 436-5030

Other identifiers 1

IdentifierTypeStateIssuer
2338652MedicaidOH

Other names 1

  • Dr. Beth Turoff McCreary Professional name

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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5851OHMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P Decola, PH.D., LLC Clinical CurrentSince Jun 1, 2016 Accepting new patients

Locations

6797 N High St
Ste 214
Worthington, OH 43085
Phone (614) 407-5776

659 High St
Ste 202
Worthington, OH 43085
Phone (614) 436-5030

Organizations & group practices 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1619930633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST STE 214",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "614-436-5030",
            "fax_number": "614-436-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST STE 214",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "614-436-5030",
            "fax_number": "614-436-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "BETH",
        "middle_name": "KIRSTEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5851",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "5851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MCCREARY",
            "middle_name": "TUROFF",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.