DR. BETHANN SHOUDT (PSYD) – Clinical Psychologist, NPI 1265423362

DR. BETHANN SHOUDT (PSYD) is a healthcare provider. based in Royersford, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PS008614L (PA). The NPI Number for DR. BETHANN SHOUDT (PSYD) is 1265423362

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETHANN SHOUDT (PSYD)
NPI
1265423362
Phone
(610) 898-1370
Address
67 LONG MEADOW RD
Enumeration Date
30 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104041726
Graduation Year
1997 (29 years ago)
PAC ID
1951355718
Group Practice PAC ID
5698729457
Professional Enrollment ID
I20050307000134
Address ID
PA195089178BI6720XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for DR. BETHANN SHOUDT (PSYD)

  • 67 LONG MEADOW RD

    ROYERSFORD, PA 194681853

    Phone: (610) 898-1370

    Type: Mailing

  • Perkiomen Avenue, Reading, Berks County, Pennsylvania, 19606, United States

    READING, PA 196069521

    Phone: (610) 898-1370

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050307000134IClinical PsychologistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19468)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698729457View full group profile
NameSpecialtyState
Clinical PsychologistMA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA

Reviews

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Frequently asked questions

Can I cross-check DR. BETHANN SHOUDT (PSYD) using NPI 1265423362?
NPI 1265423362 belongs to DR. BETHANN SHOUDT (PSYD); compare other details if you need extra assurance.
Is DR. BETHANN SHOUDT (PSYD) still an active registrant?
DR. BETHANN SHOUDT (PSYD) carries an active NPI according to the public dataset.
How would a patient describe DR. BETHANN SHOUDT (PSYD)'s focus?
For DR. BETHANN SHOUDT (PSYD), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. BETHANN SHOUDT (PSYD) located near Royersford?
DR. BETHANN SHOUDT (PSYD) currently maps to Royersford, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for DR. BETHANN SHOUDT (PSYD) is noted as October 30, 2005 where the registry provides it.

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