Individual provider Active NPI

Benson Joseph Fox, PSYD

  • Psychologist
  • Roslyn Heights, NY
National Provider Identifier
1174343495
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
027739 Issued in NY
Practice address
200 S Service Rd Ste 110a
Roslyn Heights, NY 11577-2133
Phone
(916) 362-1653
NPI assigned
Oct 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 027739 NY Primary

Addresses

Primary practice location

200 S Service Rd Ste 110a
Roslyn Heights, NY 11577-2133

Mailing address

1071 Fulton St Rear
Woodmere, NY 11598-1128
Phone (516) 880-2841

Other practice location 1

1071 Fulton St Rear
Woodmere, NY 11598-1128
Phone (516) 880-2841

Other practice location 2

205 Hudson St Fl 9
New York, NY 10013-1810
Phone (646) 941-7645

Other practice location 3

358 Veterans Memorial Hwy Ste 9
Commack, NY 11725-4326
Phone (631) 821-7214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260608002699 NY Practitioner - Clinical Psychologist 9234600511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027739NYMDSpeech-Language Pathologist

Organizations & group practices 1

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1174343495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 FULTON ST REAR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981128",
            "telephone_number": "516-880-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 110A",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772133",
            "telephone_number": "916-362-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Fulton St Rear",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981128",
            "country_code": "US",
            "telephone_number": "516-880-2841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Hudson St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100131810",
            "country_code": "US",
            "telephone_number": "646-941-7645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 Veterans Memorial Hwy Ste 9",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254326",
            "country_code": "US",
            "telephone_number": "631-821-7214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "BENSON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "027739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.