DR. RICHARD BETANCOURT
NPI 1770702771
Psychologist in Upland, CA

Active since April 25, 2007PECOS Enrolled
954 W FOOTHILL BLVD STE A, UPLAND, CA 91786(909) 946-4222(909) 946-8243 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Jan 11, 2023 (2 updates tracked since 2023).

About Dr. Richard Betancourt NPPES

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

DR. RICHARD BETANCOURT (NPI 1770702771) is an individual psychologist in Upland, California and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770702771
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RICHARD BETANCOURT
Location Address954 W FOOTHILL BLVD STE AUpland, CA 91786-3782
Mailing Address1045 W Chestnut AveSanta Ana, CA 92703-3907 · (714) 932-6680
Fax(909) 946-8243
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1770702771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
954 W FOOTHILL BLVD STE A, Upland, CA 91786

Other Identifiers 1

Medicaid7006CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Betancourt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274012141
PECOS Enrollment IDI20260210003813
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Betancourt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
199 N 2ND AVE
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
Psychologist
954 W FOOTHILL BLVD STE A
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
Primary Care
513 E LIME AVE, SUITE 103
Monrovia, CA 91016
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Physician Assistant
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Social Worker (Clinical)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Marriage & Family Therapist
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Social Worker (Clinical)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Psychologist
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Psychologist
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
Nurse Practitioner (Psychiatric/Mental Health)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786

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 Richard Betancourt's NPI number?

The NPI number for Richard Betancourt is 1770702771. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Richard Betancourt located?

Richard Betancourt practices at 954 W Foothill Blvd Ste A, Upland, CA 91786. The listed phone number is (909) 946-4222.

What is Richard Betancourt's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Richard Betancourt enrolled in Medicare?

Yes. Richard Betancourt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Betancourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Betancourt reassigns Medicare benefits to 3 organizations: One Health Center, Inc. (Upland, CA), Foothills Psychological Services, Inc. (Upland, CA) and Mission City Community Network, Inc. (Monrovia, CA). Each 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 Richard Betancourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Betancourt was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.