Bethany Wangelin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

717 Green Valley Rd Ste 200
Greensboro, NC 27408-2156

Phone

(336) 542-1800

NPI assigned

Apr 1, 2013

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 NC

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tailored Brain Health PLLCGroup PAC ID 7517375199, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Tailored Brain Health PLLC

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1962081885
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1740523463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082156",
            "telephone_number": "336-542-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGELIN",
        "first_name": "BETHANY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanek Medical Center PLLC
• Elizabeth Ann Wanek, MD
• Claire Wang
• Hao Wang, MD
• Huili Wang, SLP
• Katherine McAlister Wangelin, MSW, LCSW
• Warby Parker Inc.
• Alexsie Ward
• Amy Elizabeth Ward, MD
• Christopher Andrew Ward, LCMHCA

• Psychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.