Eleanor Benner, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018614 Issued in PA

Practice address

1 Bethlehem PLZ Ste 8101
Bethlehem, PA 18018-5754

Phone

(610) 865-4300

NPI assigned

Sep 13, 2018

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1235612482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHLEHEM PLZ STE 8101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185754",
            "telephone_number": "610-865-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHLEHEM PLZ STE 8101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185754",
            "telephone_number": "610-865-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedetto Chiropractic Health Center
• Alison Mary Benedetto, D.C.
• Raymond J Benedetto, D.C.
• Adam Benham, CRNA
• Angelei Benitez
• Suzanne Benner
• Kellie Sweeney Beno, CRNA
• Georges J Bensimhon
• Adam J.S. Benton, PAC
• Kristen A Bentson, D.C., M.S.

• Clinical Psychologist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.