Bret Bentz, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

31579 Issued in TX

Practice address

6225 Paper Shell Way
Fort Worth, TX 76179-9286

Phone

(817) 988-1236

Fax

(817) 750-1237

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Louisiana State University School of Medicine in New Orleans, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Senior Neuropsychological Associates, PC

  • Cognitive & Behavioral Psychologist
  • Fort Worth, TX
  • NPI 1356522288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1174552426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 PAPER SHELL WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761799286",
            "telephone_number": "817-988-1236",
            "fax_number": "817-750-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 PAPER SHELL WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761799286",
            "telephone_number": "817-988-1236",
            "fax_number": "817-750-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "31579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0015MJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159445901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew R Bentley, DMD
• Austin Ford Benton, PA-C
• Joshua Benton, DPT
• Shirley A Benton, LPC LMFT LCDC
• Bentz Physical Therapy, PC (Bentz Physical Therapy)
• Peter Blackwell Bentz, P.T.
• Sarah Jane Bentz, LPC-INTERN
• Karen Laitner Benz, D.O.
• Rebecca Beougher
• Kerri Berard

• Cognitive & Behavioral Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Cognitive & Behavioral Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.