Jessie Angeline Benham, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

92-10P Issued in AR

Practice address

1311 Fort Street
Ste. J
Barling, AR 72923

Phone

(479) 452-5040

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.97 of 100Reported as group

Quality

73.83

Improvement activities

40

Cost

71.46

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1184878159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23047",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230047",
            "telephone_number": "479-452-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FORT STREET",
            "address_2": "STE. J",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "72923",
            "telephone_number": "479-452-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "JESSIE",
        "middle_name": "ANGELINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "92-10P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kathryn Bartlett
• BDS Healthcare LLC (Vybrem Labs)
• Stephanie Becker
• Lisa Marie Behler, RN
• Brittany Beights
• Loana Benton
• Tiffany Beshears, MHPP/TEACHER
• Rashel Bierma, CD
• Tara Blentlinger, MHPP
• Amanda Boeke

• Clinical Psychologist in Barling, AR
• Providers in Barling, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.