BETH COLALUCA PHD
NPI 1164507273
Clinical Neuropsychologist in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 26, 2006PECOS Enrolled

1521 COOPER ST, FORT WORTH, TX 76104(682) 885-7450(682) 885-3308 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2021, Apr 9, 2021 (2 updates tracked since 2021).

On this page

About Beth Colaluca Phd NPPES

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

BETH COLALUCA PHD (NPI 1164507273) is an individual clinical neuropsychologist in Fort Worth, Texas, licensed in Texas (31100) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164507273

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameBETH COLALUCACredential: PHD

Location Address1521 COOPER STFort Worth, TX 76104-2711

Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-4871 · Fax (682) 885-3939

Phone(682) 885-7450

Fax(682) 885-3308

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateApril 13, 20212 updates tracked since enumeration

NPPES CertifiedApril 13, 2021

✔ NPI 1164507273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 31100

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1521 COOPER ST, Fort Worth, TX 76104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Colaluca Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.