Active NPI
Todd Bennett
- Clinical Psychologist
- Hackettstown, NJ
National Provider Identifier
1265826457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00598500
- Practice address
- 254B Mountain Ave Ste 300
Hackettstown, NJ 07840-2413 - Phone
- (908) 852-5858
- NPI assigned
- Mar 25, 2015
- Last updated
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00598500 | NJ | Primary |
Addresses
Primary practice location
254B Mountain Ave Ste 300
Hackettstown, NJ 07840-2413
Mailing address
254B Mountain Ave Ste 300
Hackettstown, NJ 07840-2413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00598500 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1265826457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254B MOUNTAIN AVE STE 300",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254B MOUNTAIN AVE STE 300",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402413",
"telephone_number": "908-852-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "TODD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-25",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00598500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackettstown, NJ
- Louise Baszak
- Zainab Batool, RPH
- Leslie Elaine Bayles, LCADC
- Kristin Nicole Beacham
- Beacon Neurodiagnostic Associates LLC.
- Mildred Bentler, MA, RD, CDE
- Emmanuel Bermeo, PT
- Best Choice Home Care Limited Liability Company
- Bio-Medical Applications of New Jersey, Inc. (Fresenius Kidney Care Hackettstown)
- Biopsych Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.