{"npi":"1396977286","type":"NPI-2","status":"active","name":{"display":"Bethany A Shaw Psychological Services, Ltd","other":[],"organization_name":"BETHANY A SHAW PSYCHOLOGICAL SERVICES, LTD","authorised_official":"Bethany Shaw"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"OH","license":"5212"}]},"addresses":[{"purpose":"LOCATION","street_1":"107 E COLLEGE AVE STE 101","city":"WESTERVILLE","state":"OH","postal_code":"430811613","country_code":"US","phone":"6147943138","fax":"6147943175"},{"purpose":"MAILING","street_1":"107 E COLLEGE AVE STE 101","city":"WESTERVILLE","state":"OH","postal_code":"430811613","country_code":"US","phone":"6147943138","fax":"6147943175"}],"license":{"state":"OH","number":"5212"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090827000370","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"7719032754"}]},"enumeration_date":"2009-08-11","last_updated":"2023-08-23","_meta":{"source":"NPPES","snapshot_date":"2023-08-23","doc_url":"https://findmynpi.com/api"}}