BETHEL LOCAL SCHOOL DISTRICT
NPI 1417805763
Psychologist - School in Tipp City, OH

NPI Status: Active since March 20, 2026

Contact Information

7490 STATE ROUTE 201
TIPP CITY, OH
ZIP 45371
Phone: (937) 845-9414

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  • Organization
  • Psychologist
  • School
  • CLIA Number: 36D2299260
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-15-2028

About BETHEL LOCAL SCHOOL DISTRICT

This page provides the complete NPI Profile along with additional information for Bethel Local School District, a provider established in Tipp City, Ohio operating as a Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1417805763 assigned on March 2026. The practitioner's primary taxonomy code is 103TS0200X. The provider is registered as an organization and their NPI record was last updated March 2026. Bethel Local School District operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jenni Logan (Treasurer/cfo)

NPI
1417805763
Provider Name
BETHEL LOCAL SCHOOL DISTRICT
Entity Type
Organization
Location Address
7490 STATE ROUTE 201 TIPP CITY, OH 45371
Location Phone
(937) 845-9414
Mailing Address
7045 U.S. 40 NEW CARLISLE, OH 45344
Mailing Phone
(937) 845-9414
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2026
Last Update Date
03-20-2026
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Location Map

Secondary Locations

  • 7120 State Route 201
    Tipp City, OH 45371
    (937) 845-9414

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist School

Taxonomy Code
103TS0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YS0200XBehavioral Health & Social Service Providers

Counselor
School

 
21041S0200XBehavioral Health & Social Service Providers

Social Worker
School

 
3163WS0200XNursing Service Providers

Registered Nurse
School

 
4235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNI LOGAN

Authorized Official Title
TREASURER/CFO
Authorized Official Phone
(937) 845-9414

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2299260
Facility Type
School/Student Health Service
Certificate Effective Date
February 16, 2026
Certificate Expiration Date
February 15, 2028
Laboratory Director
TRICIA L. MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bethel Local School District to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417805763, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 8 → 16 → 7 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 6 + 0 + 1 + 0 + 7 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1417805763.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417805763, enumerated as an "organization" on March 20, 2026.

The provider is located at 7490 STATE ROUTE 201 TIPP CITY, OH 45371 and the phone number is (937) 845-9414.

Psychologist with taxonomy code 103TS0200X and a focus in School.