Bethany Walters

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34942 Issued in CA

Practice address

22606 Hamlin St
West Hills, CA 91307-3638

Phone

(407) 620-1120

NPI assigned

Mar 28, 2024

Last updated

Oct 16, 2024By 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 CA

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• F a C T Psychology Professional Corporation

  • Clinical Psychologist
  • West Hills, CA
  • NPI 1447078936
  Medicare reassignment NPD Authorized official
• Southland Psychology Inc

  • Clinical Psychologist
  • Sherman Oaks, CA
  • NPI 1043738412
  Medicare reassignment NPD

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1669223640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23055 SHERMAN WAY UNIT 4482",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913087029",
            "telephone_number": "407-620-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22606 HAMLIN ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073638",
            "telephone_number": "407-620-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vite Home Health, Inc.
• Vite Hospice Care Inc
• Victoria Voros, O.D.
• Wal-Mart Stores, Inc. (Vision Center 30-5152)
• Walmart Inc. (Walmart Pharmacy 10-5152)
• Yiping Wang, M.D
• Lisa N Warren, RDHAP
• April Warynick
• Isom Washington
• Marcus Von Wedeking

• Clinical Psychologist in West Hills, CA
• Providers in West Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.