BETHANY DETWILER PHD LLC
NPI 1366927444
Community/Behavioral Health in Allentown, PA
About Bethany Detwiler Phd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY DETWILER PHD LLC (NPI 1366927444) is a healthcare organization registered as a community/behavioral health in Allentown, Pennsylvania and active in the NPI registry since September 2018. The organization lists Bethany Detwiler, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethany Detwiler Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bethany Detwiler Phd LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Detwiler Phd LLC's NPI number?
The NPI number for Bethany Detwiler Phd LLC is 1366927444. It was assigned to this organization in the NPPES registry on September 25, 2018.
Where is Bethany Detwiler Phd LLC located?
Bethany Detwiler Phd LLC is located at 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104. The listed phone number is (610) 467-3736.
What is Bethany Detwiler Phd LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Bethany Detwiler Phd LLC enrolled in Medicare?
Yes. Bethany Detwiler Phd LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bethany Detwiler Phd LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Bethany Detwiler Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bethany Detwiler Phd LLC was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bethany Detwiler Phd Llc · NPI 1366927444
Community/Behavioral Health organization in Allentown, Pennsylvania. Organization record, active in the CMS NPPES registry since September 25, 2018.
## Identity
- **NPI:** 1366927444 (Entity type: Organization)
- **Enumerated:** September 25, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Bethany Detwiler, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 121 N CEDAR CREST BLVD STE A, Allentown, PA 18104-4664
- **Phone:** (610) 467-3736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366927444) · Data from the CMS NPPES public registry.