Active NPI
Riley Benko, PSY.D.
- Psychologist
- Catonsville, MD
National Provider Identifier
1063996247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- A0488
- Practice address
- 55 Wade Ave
Catonsville, MD 21228-4663 - Phone
- (410) 402-6000
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | A0488 | MD | Primary |
Addresses
Primary practice location
55 Wade Ave
Catonsville, MD 21228-4663
Mailing address
12 Asgard CT
Parkville, MD 21234-5905
Phone (708) 415-4144
Other practice location 1
10450 Shaker Dr Ste 109
Columbia, MD 21046-1136
Phone (708) 415-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 22, 2024 through Apr 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0488 | MD | MD | Psychologist |
| 06335 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1063996247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ASGARD CT",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212345905",
"telephone_number": "708-415-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WADE AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284663",
"telephone_number": "410-402-6000"
}
],
"practiceLocations": [
{
"address_1": "10450 Shaker Dr Ste 109",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210461136",
"country_code": "US",
"telephone_number": "708-415-4144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENKO",
"first_name": "RILEY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "A0488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.