Active NPI
Megan Yetzer-Bettonville, PHD
- Counseling Psychologist
- Gahanna, OH
National Provider Identifier
1811520885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- P.07731
- Practice address
- 4625 Morse Rd Ste 200
Gahanna, OH 43230-8355 - Phone
- (614) 383-8381
- NPI assigned
- Feb 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | P.07731 | OH | Primary |
Addresses
Primary practice location
4625 Morse Rd Ste 200
Gahanna, OH 43230-8355
Mailing address
4625 Morse Rd Ste 200
Gahanna, OH 43230-8355
Phone (614) 383-8381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4625 Morse Rd
Suite 200
Gahanna, OH 43230-8355
Phone (614) 383-8381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Women'S Wellness, LLC | Single Specialty | Current | Accepting new patients |
Locations
4625 Morse Rd
Ste 200
Gahanna, OH 43230
Phone (614) 383-8381
1460 Manning Pkwy
Powell, OH 43065
Phone (614) 383-8381
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1811520885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 MORSE RD STE 200",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432308355",
"telephone_number": "614-383-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 MORSE RD STE 200",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432308355",
"telephone_number": "614-383-8381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETZER-BETTONVILLE",
"first_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "P.07731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.