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BETHANY A SHAW PSYCHOLOGICAL SERVICES, LTD
NPI 1396977286
Psychologist - Clinical in Westerville, OH

Active since August 11, 2009
107 E COLLEGE AVE STE 101, WESTERVILLE, OH 43081(614) 794-3138(614) 794-3175 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethany A Shaw Psychological Services, Ltd NPPES

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

BETHANY A SHAW PSYCHOLOGICAL SERVICES, LTD (NPI 1396977286) is a healthcare organization registered as a clinical in Westerville, Ohio and active in the NPI registry since August 2009. The organization lists Bethany Ann Shaw, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1396977286
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBETHANY A SHAW PSYCHOLOGICAL SERVICES, LTD
Location Address107 E COLLEGE AVE STE 101Westerville, OH 43081-1613
Mailing Address107 E College Ave Ste 101Westerville, OH 43081-1613 · (614) 794-3138 · Fax (614) 794-3175
Phone(614) 794-3138
Fax(614) 794-3175
Organization SubpartNo
Authorized OfficialBethany Ann ShawClinical Psychologist · (614) 794-3138
Enumeration DateAugust 11, 2009
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1396977286 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.
107 E COLLEGE AVE STE 101, Westerville, OH 43081
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 A Shaw Psychological Services, Ltd 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 A Shaw Psychological Services, Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bethany Shaw, PSY.D.
Clinical Psychologist
NPI 1154489276
167 S STATE ST SUITE 100
Westerville, OH 43081
(614) 794-3138
✔ PECOS✔ Accepts Medicare0.4 mi

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 A Shaw Psychological Services, Ltd's NPI number?

The NPI number for Bethany A Shaw Psychological Services, Ltd is 1396977286. It was assigned to this organization in the NPPES registry on August 11, 2009.

Where is Bethany A Shaw Psychological Services, Ltd located?

Bethany A Shaw Psychological Services, Ltd is located at 107 E College Ave Ste 101, Westerville, OH 43081. The listed phone number is (614) 794-3138.

What is Bethany A Shaw Psychological Services, Ltd's specialty?

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

Is Bethany A Shaw Psychological Services, Ltd enrolled in Medicare?

Yes. Bethany A Shaw Psychological Services, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethany A Shaw Psychological Services, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Bethany A Shaw Psychological Services, Ltd. 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 A Shaw Psychological Services, Ltd was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.