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AMIE BETTENCOURT PH.D.
NPI 1851755250
Psychologist - Clinical Child & Adolescent in Baltimore, MD

Active since April 12, 2016PECOS Enrolled
550 N BROADWAY RM 907, BALTIMORE, MD 21205(410) 955-8021 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amie Bettencourt Ph.d. NPPES

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

AMIE BETTENCOURT PH.D. (NPI 1851755250) is an individual clinical child & adolescent provider in Baltimore, Maryland, licensed in Maryland (05160) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851755250
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameAMIE BETTENCOURTCredential: PH.D.
Location Address550 N BROADWAY RM 907Baltimore, MD 21205-2020
Mailing Address550 N Broadway Rm 907Baltimore, MD 21205-2020 · (410) 955-8021
Phone(410) 955-8021
Sole ProprietorNo
Enumeration DateApril 12, 2016
Last NPPES UpdateJuly 27, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1851755250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MD · 05160
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
550 N BROADWAY RM 907, Baltimore, MD 21205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amie Bettencourt Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Amie Bettencourt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kennedy Krieger Associates
0.2 mi
Pediatrics
707 N BROADWAY
Baltimore, MD 21205
  • Reassigned Medicare billing, Maryland enrollment
  • 352 clinicians in this Medicare group
NPI 1871515783 (443) 923-1070
Baltimore Medical Systems, Inc.
2.6 mi
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 clinicians in this Medicare group
NPI 1164138152 (410) 558-4084

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 Amie Bettencourt's NPI number?

The NPI number for Amie Bettencourt is 1851755250. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Amie Bettencourt located?

Amie Bettencourt practices at 550 N Broadway Rm 907, Baltimore, MD 21205. The listed phone number is (410) 955-8021.

What is Amie Bettencourt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Amie Bettencourt enrolled in Medicare?

Yes. Amie Bettencourt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amie Bettencourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amie Bettencourt reassigns Medicare benefits to 2 organizations: Kennedy Krieger Associates (Baltimore, MD) and Baltimore Medical Systems, Inc. (Baltimore, MD). 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 Amie Bettencourt'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 Amie Bettencourt was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.