Kathryn Elizabeth Bettencourt, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9279 Issued in MA

Practice address

162 Great Rd
Acton, MA 01720-5760

Phone

(978) 496-8041

NPI assigned

Nov 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Fitzpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 6, 2023 through Apr 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.bettencourt.p1@direct.chcfhc.nextgenshare.com

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.

• Kathryn Bettencourt PHD PLLC

  • Community/Behavioral Health Agency
  • Acton, MA
  • NPI 1790491009
  NPD Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1689975484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205760",
            "telephone_number": "978-496-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205760",
            "telephone_number": "978-496-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENCOURT",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FITZPATRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Bergman
• Louis J. Berk, M.D.
• Elizabeth R Berman, RDN, LDN
• Farah Bernard
• Daniel J Bertrand, DPT
• Molly Betterton, M.S. CCC-SLP
• Scott A Biron, ATC
• Danielle Blackmore
• Lauren Michele Bleich, MD/MPH
• Bliss Body, LLC

• All providers in Acton, MA
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.