Jenny Bendure, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1250 Issued in OK

Practice address

4330 Adams Rd Ste 100
Norman, OK 73069-1007

Phone

(405) 701-8400

Fax

(405) 253-0490

NPI assigned

Jun 9, 2015

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Dirt Mental Health, Inc.

  • Psychologist
  • Norman, OK
  • NPI 1235672692
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1013398668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 ADAMS RD STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691007",
            "telephone_number": "405-701-8400",
            "fax_number": "405-253-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 ADAMS RD STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691007",
            "telephone_number": "405-701-8400",
            "fax_number": "405-253-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDURE",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13655858",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "549544",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200677510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genavieve Belobraydic
• Luke Belsky, PH.D.
• Thomas Belusko
• Aundrea Victoria Benavidez
• Makenzie Bender, DO, MPH, CPH
• Alexa Benedict
• Laura Benge
• Justin Mykel Benjamin
• Kimberlea Lynn Benjamin
• Heather Benke, RBT

• Psychologist in Norman, OK
• Providers in Norman, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.