DR. BETHANY RALLIS PH.D., LCP
NPI 1538837950
Psychologist - Clinical in South Kingstown, RI

Q: What is Bethany Rallis's NPI number?

The NPI number for Bethany Rallis is 1538837950. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Q: What is Bethany Rallis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bethany Rallis was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 31, 2021PECOS EnrolledAccepts Medicare Assignment

65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879(401) 785-0040(401) 941-7847 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Bethany Rallis Ph.d., Lcp NPPES

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

DR. BETHANY RALLIS PH.D., LCP (NPI 1538837950) is an individual clinical provider in South Kingstown, Rhode Island, licensed in Rhode Island (PS01879) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538837950

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BETHANY RALLISCredential: PH.D., LCP

Location Address65 VILLAGE SQUARE DR STE 302South Kingstown, RI 02879-2569

Mailing Address86 Blueberry LnJamestown, RI 02835-2903 · (401) 954-4283

Phone(401) 785-0040

Fax(401) 941-7847

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 31, 2021

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1538837950 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 RI · PS01879

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.

65 VILLAGE SQUARE DR STE 302, South Kingstown, RI 02879

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bethany Rallis Ph.d., Lcp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395137855

PECOS Enrollment IDI20220113002428

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LAURA DAVIDSON NP

Nurse Practitioner (Psychiatric/Mental Health)