Individual provider Active NPI

Jessica L Benler, PSYD

  • Clinical Psychologist
  • Yonkers, NY
National Provider Identifier
1326279787
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019312 Issued in NY
Practice address
35 Dock St
Yonkers, NY 10701-2733
Phone
(914) 965-1109
Fax
(914) 965-9705
NPI assigned
Aug 4, 2009
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019312 NY Primary

Addresses

Primary practice location

35 Dock St
Yonkers, NY 10701-2733

Mailing address

19 Greenridge Ave
White Plains, NY 10605-1201
Phone (914) 965-1109

Other identifiers 3

IdentifierTypeStateIssuer
1285628552OtherNYAGENCY NPI #
WVE061OtherNYAGENCY MEDICARE #
00355940OtherNYAGENCY MEDICAID PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150211000285 MD Practitioner - Clinical Psychologist 1658696869 Reassigns benefits to 1 organization
I20170911001922 DC Practitioner - Clinical Psychologist 1658696869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians

Practice addresses (Care Compare)

16940 Georgia Ave
Olney, MD 20832-2424
Phone (410) 929-7225

7067 Columbia Gateway Dr
Suite 180
Columbia, MD 21046-3408

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05347MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Della Behavioral Health Services CurrentSince May 3, 2021 Accepting new patients
Julia Dyckman Andrus Memorial, Inc. PastSince Apr 1, 2005 Accepting new patients
Excel Psychiatric Consultation, PC Past Accepting new patients

Locations

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1326279787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051201",
            "telephone_number": "914-965-1109",
            "fax_number": "914-997-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DOCK ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012733",
            "telephone_number": "914-965-1109",
            "fax_number": "914-965-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENLER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI #",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICARE #",
            "identifier": "WVE061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID PROVIDER ID",
            "identifier": "00355940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.