Individual provider Active NPI

Mark Bennett Besen, PHD

  • Clinical Psychologist
  • Cape May Court House, NJ
National Provider Identifier
1154539641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3898 Issued in NJ
Practice address
128 Crest Haven Road
Cape May Court House, NJ 08210
Phone
(609) 463-0014
Fax
(609) 463-8671
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3898 NJ Primary

Addresses

Primary practice location

128 Crest Haven Road
Cape May Court House, NJ 08210

Mailing address

300 Route 50
Corbin City, NJ 08270-9025
Phone (609) 628-2524

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150812008843 NC Practitioner - Clinical Psychologist 5294724605 Practice locations: Pine Knoll Shores, NC; Morehead City, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 381
Atlantic Beach, NC 28512

PO Box
Suite 422
Morehead City, NC 28557-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3898NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc Past Accepting new patients
Atlanticare Behavioral Health, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154539641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROUTE 50",
            "city": "CORBIN CITY",
            "state": "NJ",
            "postal_code": "082709025",
            "telephone_number": "609-628-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CREST HAVEN ROAD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-463-0014",
            "fax_number": "609-463-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESEN",
        "first_name": "MARK",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.