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BETH FREDERICK PSY D
NPI 1083000103
Psychologist - Clinical in Frederick, MD

Active since April 15, 2015Opted out of Medicare · through Oct 1, 2026
186 THOMAS JOHNSON DR STE 204, FREDERICK, MD 21702(703) 795-0853 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Beth Frederick Psy D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETH FREDERICK PSY D (NPI 1083000103) is an individual clinical provider in Frederick, Maryland, licensed in Maryland (04456) and active in the NPI registry since April 2015. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1083000103
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameBETH FREDERICKCredential: PSY D
Location Address186 THOMAS JOHNSON DR STE 204Frederick, MD 21702-4478
Mailing Address5864 Winter Oaks PlFrederick, MD 21704-6872 · (703) 795-0853
Phone(703) 795-0853
Sole ProprietorNo
Enumeration DateApril 15, 2015
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1083000103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 04456
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
186 THOMAS JOHNSON DR STE 204, Frederick, MD 21702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Beth Frederick Psy D has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDDLETON PSYCHOLOGY SERVICES, LLC
Psychologist (Clinical)
186 THOMAS JOHNSON DR STE 204
FREDERICK, MD 21702
Frederick County (301) 360-5859
DR. CARL MIDDLETON PH.D.
Psychologist (Clinical)
186 THOMAS JOHNSON DR STE 204
FREDERICK, MD 21702
Frederick County (301) 360-5859
DR. MELANIE SHOLTIS PSY D
Psychologist (Clinical)
186 THOMAS JOHNSON DR STE 204
FREDERICK, MD 21702
Frederick County (301) 467-7268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Frederick's NPI number?

The NPI number for Beth Frederick is 1083000103. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Beth Frederick located?

Beth Frederick practices at 186 Thomas Johnson Dr Ste 204, Frederick, MD 21702. The listed phone number is (703) 795-0853.

What is Beth Frederick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Beth Frederick enrolled in Medicare?

No. Beth Frederick has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beth Frederick was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.