Active NPI
Deborah Betsworth, PHD
- Psychologist
- Iowa City, IA
National Provider Identifier
1972959435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2119-57
- Practice address
- Iowa City VA Health Care System
601 Hwy 6 West
Iowa City, IA 52246 - Phone
- (262) 573-5715
- NPI assigned
- May 13, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 2119-57 | WI | Primary |
| Counseling Psychologist | 103TC1900X | 2119-57 | WI |
Addresses
Primary practice location
Iowa City VA Health Care System
601 Hwy 6 West
Iowa City, IA 52246
Mailing address
1600 W Green Tree Rd, 119
Glendale, WI 53209
Phone (262) 573-5715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2119-57 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1972959435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W GREEN TREE RD, 119",
"city": "GLENDALE",
"state": "WI",
"postal_code": "53209",
"telephone_number": "262-573-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IOWA CITY VA HEALTH CARE SYSTEM",
"address_2": "601 HWY 6 WEST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52246",
"telephone_number": "262-573-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETSWORTH",
"first_name": "DEBORAH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2119-57",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "2119-57",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.