DR. JOHN T BEETAR PH.D
NPI 1912920943
Clinical Neuropsychologist in Charlotte, NC

Q: What is John Beetar's NPI number?

The NPI number for John Beetar is 1912920943. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is John Beetar's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for John Beetar was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 25, 2006PECOS Enrolled

1100 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-4300 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John T Beetar Ph.d NPPES

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

DR. JOHN T BEETAR PH.D (NPI 1912920943) is an individual clinical neuropsychologist in Charlotte, North Carolina, licensed in North Carolina (5026) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912920943

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JOHN T BEETARCredential: PH.D

Location Address1100 BLYTHE BLVDCharlotte, NC 28203

Mailing Address5025 Airport Center Pkwy Bldg LCharlotte, NC 28208-5885 · (704) 512-7105

Phone(704) 355-4300

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateOctober 31, 2018

✔ NPI 1912920943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NC · 5026

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1100 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John T Beetar 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.

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.

ELISABETH NEELY THEODOSSIOU OTR/L

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