Jaelin A Beachy, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.09020 Issued in OH

Practice address

6535 Charles Snider Rd
Goshen, OH 45140-9588

Phone

(513) 575-1444

Fax

(513) 575-1451

NPI assigned

Apr 27, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

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 and National Provider Directory roles.

• Benson Psychological Services PC

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1477709574

  ND

  Medicare reassignment NPD
• St. Aloysius Orphanage Cambridge

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1275920472
  NPD (past)

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1740924448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 CHARLES SNIDER RD",
            "city": "GOSHEN",
            "state": "OH",
            "postal_code": "451409588",
            "telephone_number": "513-575-1444",
            "fax_number": "513-575-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHY",
        "first_name": "JAELIN",
        "middle_name": "A",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.09020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Als Goshen, Inc
• Shirley Ann Alsup, MSN, CCRN, CNS, APRN
• Cheryl Barrett
• Thomas E Bauer, CNP
• Kelsy Beare
• Tonya Bess
• Tara L Bowling, LPN
• Carrie Boyd, M.A., CCC-SLP
• Nancy Bredemeier

• All providers in Goshen, OH
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.