Organization Active NPI

Richard L Benson PHD PA

  • Psychologist
  • Overland Park, KS
National Provider Identifier
1144729591
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1343 Issued in KS
Legal business name
RICHARD L BENSON PHD PA
Practice address
8826 Santa Fe Dr Ste 170
Overland Park, KS 66212-3673
Phone
(913) 438-2100
Fax
(913) 438-2119
NPI assigned
Feb 12, 2018
Last updated
Feb 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Richard L Benson, PHDNPI 1083718290
Title
President
Phone
(913) 438-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP1343 KS Primary

Addresses

Primary practice location

8826 Santa Fe Dr Ste 170
Overland Park, KS 66212-3673

Mailing address

8826 Santa Fe Dr Ste 170
Overland Park, KS 66212-3673
Phone (913) 438-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212002800 KS Part B Supplier - Clinic/Group Practice 8426318486 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Locations

5750 W 95th St
Ste 320
Overland Park, KS 66207
Phone (913) 596-8808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1144729591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR STE 170",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123673",
            "telephone_number": "913-438-2100",
            "fax_number": "913-438-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR STE 170",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123673",
            "telephone_number": "913-438-2100",
            "fax_number": "913-438-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L BENSON PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-438-2100",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LP1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.