Bettye Ford, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32406 Issued in CA

Practice address

4859 W Slauson Ave Ste 711
Los Angeles, CA 90056-1290

Phone

(323) 380-8189

NPI assigned

Mar 8, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• New Day, New Way

  • Mental Health Counselor
  • Inglewood, CA
  • NPI 1457005597

  Multi-Specialty

  NPD Authorized official
• New Day, New Way Psychotherapy

  • Clinical Psychologist
  • Inglewood, CA
  • NPI 1497581623
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1881289189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE STE 711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "323-380-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE STE 711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "323-380-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BETTYE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "PSY32406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey L Ford Bench, MD
• Lenora Ann Ford-Watson, F.N.P.
• Alexander Philip Ford, MD
• Amanda Ford, PA-C
• Amanda Stephani Ford
• Christina M Ford, M.D.
• Emily Austin Ford
• Felicia Ford
• Janeeah Ford
• Joyce Ann Ford

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.