David Benjamin Bendor, PSY.D.
Individual provider Active NPI Clinical Psychologist · Hartford, CT
NPI 1164587812 · NPPES record last updated Feb 7, 2013
Key facts
- NPI
- 1164587812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 002973 (CT)
- Practice address
- 200 Retreat Avenue
Hartford Hospital Psychiatry Dept.
Hartford, CT 06106-3310 - Phone
- (860) 545-7665
- NPI assigned
- Dec 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- david.bendor@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002973 | CT | Yes |
Addresses
Primary practice location
200 Retreat Avenue
Hartford Hospital Psychiatry Dept.
Hartford, CT 06106-3310
Mailing address
PO Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008029738 | Medicaid | CT |
Other providers in Hartford, CT
- Teresa Angela Bellmund
- Mark Belsky
- Sharon R Belton
- Liel Ben Naim
- Anthony Benaquista
- Ligia Benedetti
- Sheri-Ryan A Benevides
- Jajahira Benitez
- Marc Andrew Benjamin
- Patricia Marion Benjamin
All providers in Hartford, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.