DR. BETHANY N DEHAVEN LCP
NPI 1174477368
Psychologist - Clinical in Vancouver, WA

Q: What is Bethany Dehaven's NPI number?

The NPI number for Bethany Dehaven is 1174477368. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Q: What is Bethany Dehaven's specialty?

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

Q: Is Bethany Dehaven enrolled in Medicare?

No. Bethany Dehaven has opted out of Medicare through August 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Bethany Dehaven was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since February 24, 2026Opted out of Medicare · through Aug 4, 2028

404 E 15TH ST STE 10, VANCOUVER, WA 98663(360) 281-1042 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Bethany N Dehaven Lcp NPPES

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

DR. BETHANY N DEHAVEN LCP (NPI 1174477368) is an individual clinical provider in Vancouver, Washington, licensed in Washington (PSYC.PY.70044683) and active in the NPI registry since February 2026. She has opted out of Medicare through August 4, 2028.

NPPES Registry Identity

NPI1174477368

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BETHANY N DEHAVENCredential: LCP

Location Address404 E 15TH ST STE 10Vancouver, WA 98663-3451

Mailing Address404 E 15th St Ste 10Vancouver, WA 98663-3451 · (360) 281-1042

Phone(360) 281-1042

Sole ProprietorNo

Enumeration DateFebruary 24, 2026

Last NPPES UpdateMay 18, 2026

NPPES CertifiedMay 18, 2026

✔ NPI 1174477368 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 WA · PSYC.PY.70044683

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.

404 E 15TH ST STE 10, Vancouver, WA 98663

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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

Dr. Bethany N Dehaven Lcp 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 August 4, 2026 through August 4, 2028.

Opt-Out Effective DateAugust 4, 2026

Opt-Out In Effect ThroughAugust 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

SONGBIRD PSYCHOLOGICAL SERVICES, PLLC

Psychologist (Clinical)

404 E 15TH ST STE 10
VANCOUVER, WA 98663

Clark County (971) 319-3536

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 Dehaven's NPI number?

The NPI number for Bethany Dehaven is 1174477368. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Bethany Dehaven located?

Bethany Dehaven practices at 404 E 15th St Ste 10, Vancouver, WA 98663. The listed phone number is (360) 281-1042.

What is Bethany Dehaven's specialty?

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

Is Bethany Dehaven enrolled in Medicare?

No. Bethany Dehaven has opted out of Medicare through August 4, 2028. 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 Bethany Dehaven was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.