Jennifer Benish, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

071.005696 Issued in IL

Practice address

5201 Washington St
Suite 2
Downers Grove, IL 60515-4785

Phone

(630) 241-5689

NPI assigned

Sep 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Irving and Associates in Behavioral Health PC

  • Counseling Psychologist
  • Downers Grove, IL
  • NPI 1861772428
  NPD (past)

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315008000000",
    "number": "1154602167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154785",
            "telephone_number": "630-241-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154785",
            "telephone_number": "630-241-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.005696",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.005696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawsan Belbachir
• Matthew D Belden, M.D.
• David Scott Bell, MS LPC
• Christopher Patrick Bellm, PA
• Anjali Benischek, FNP-BC
• Annette Bennett, LCPC
• Kellie L Bennett, PHARMD
• Nevadagabrielle Bennett, LPC
• Christine Bergerud
• Inez Sandra Berman, MA CCC-SLP

• Clinical Child & Adolescent Psychologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.