Nadia Nicole Bethley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

59-1030 Issued in MS

Practice address

2363 Highway 1 S
Greenville, MS 38701-8337

Phone

(662) 334-1253

Fax

(662) 741-2700

NPI assigned

Aug 13, 2018

Last updated

Sep 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Health Center, Inc.Group PAC ID 6608783295, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nadia.bethley.p1@direct.deltahc.nextgenshare.com

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.

• Delta Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Mound Bayou, MS
  • NPI 1659378610
  Medicare reassignment Care Compare group NPD
• Delta Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianola, MS
  • NPI 1629495452
  NPD
• Delta Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mayersville, MS
  • NPI 1689041063
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1649759309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629314",
            "telephone_number": "662-741-8800",
            "fax_number": "662-741-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018337",
            "telephone_number": "662-334-1253",
            "fax_number": "662-741-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "548 Rosemary Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322075",
            "country_code": "US",
            "telephone_number": "662-843-7373",
            "fax_number": "662-741-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 Martin Luther King St",
            "address_purpose": "LOCATION",
            "city": "Mound Bayou",
            "state": "MS",
            "postal_code": "387629314",
            "country_code": "US",
            "telephone_number": "662-741-8800",
            "fax_number": "662-741-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHLEY",
        "first_name": "NADIA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "59-1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Houston Bearry, MD
• James R Beckham, MD
• Ryginna D Bennett, NP
• Djuana Matthews Beruk, D.D.S.
• Bethesda Resources Inc (Bethesda Cancer Center)
• Bio-Medical Applications of Mississippi, Inc. (Fresenius Kidney Care Mid-Delta Home Therapy)
• Shelia Denise Black
• Blaylock Medical Clinic PA
• Boa Vida Hospital of Aberdeen, Ms LLC (MRH Medical Group, Potter Family Clinic)
• Susan Book, PHARMD

• Clinical Psychologist in Greenville, MS
• Providers in Greenville, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.

Verify at the official NPI Registry.