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DR. BETHANY ANN SHAW PSY.D.
NPI 1154489276
Psychologist - Clinical in Westerville, OH

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
167 S STATE ST, SUITE 100, WESTERVILLE, OH 43081(614) 794-3138(614) 794-3175 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bethany Ann Shaw Psy.d. NPPES

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

DR. BETHANY ANN SHAW PSY.D. (NPI 1154489276) is an individual clinical provider in Westerville, Ohio, licensed in Ohio (5212) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154489276
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BETHANY ANN SHAWCredential: PSY.D.
Location Address167 S STATE ST, SUITE 100Westerville, OH 43081-2265
Mailing Address167 S State St, Suite 100Westerville, OH 43081-2265 · (614) 794-3138 · Fax (614) 794-3175
Phone(614) 794-3138
Fax(614) 794-3175
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154489276 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 OH · 5212
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.
167 S STATE ST, Westerville, OH 43081
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Bethany Ann Waluzak M.a.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bethany Ann Shaw Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294880233
PECOS Enrollment IDI20090827000336
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bethany Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bethany A Shaw Psychological Services, Ltd
0.4 mi
Clinical
107 E COLLEGE AVE STE 101
Westerville, OH 43081
  • Reassigned Medicare billing, Ohio enrollment
NPI 1396977286 (614) 794-3138

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MRS. CYNTHIA LIEF RUBERG MS ED, LPCC
Counselor (Mental Health)
167 S STATE ST, STE 110
WESTERVILLE, OH 43081
Franklin County (614) 865-1612
DR. WHITNEY AMOS-MCNARY D.C.
Chiropractor
167 S STATE ST, 190
WESTERVILLE, OH 43081
Franklin County (740) 334-5886

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 Bethany Shaw's NPI number?

The NPI number for Bethany Shaw is 1154489276. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Mrs. Bethany Ann Waluzak M.A..

Where is Bethany Shaw located?

Bethany Shaw practices at 167 S State St Suite 100, Westerville, OH 43081. The listed phone number is (614) 794-3138.

What is Bethany Shaw's specialty?

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

Is Bethany Shaw enrolled in Medicare?

Yes. Bethany Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bethany Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Shaw reassigns Medicare benefits to Bethany A Shaw Psychological Services, Ltd (Westerville, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Shaw accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Bethany Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.