Active NPI
Robyn Lisa Bettenhausen Geis, PSY.D.
- Family Psychologist
- Orange, CA
National Provider Identifier
1730510744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 15590
- Practice address
- 840 Town & Country Rd
Orange, CA 92868 - Phone
- (714) 558-9266
- NPI assigned
- Dec 2, 2013
- Last updated
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 15590 | CA | Primary |
Addresses
Primary practice location
840 Town & Country Rd
Orange, CA 92868
Mailing address
840 Town and Country Road
Orange, CA 92868
Phone (714) 558-9266
Other names 1
- Dr. Robyn Lisa Bettenhausen
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
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Individual and Family Therapy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Santa Ana, CA
- NPI 1124470232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1730510744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWN AND COUNTRY ROAD",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-558-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 TOWN & COUNTRY RD",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-558-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIS",
"first_name": "ROBYN",
"middle_name": "LISA BETTENHAUSEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "15590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBYN",
"last_name": "BETTENHAUSEN",
"middle_name": "LISA",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.