Active NPI
Debeka Bennett, PH.D.
- Counseling Psychologist
- Pennington, NJ
National Provider Identifier
1346939477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 35SI00702600
- Practice address
- 106 Straube Center Blvd FL 5
Pennington, NJ 08534-1449 - Phone
- (609) 759-1322
- NPI assigned
- May 4, 2023
- Last updated
- May 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 025575 | NY | |
| Group Psychotherapy Psychologist | 103TP2701X | 35SI00702600 | NJ | |
| Group Psychotherapy Psychologist | 103TP2701X | 025575 | NY | |
| Counseling Psychologist | 103TC1900X | 35SI00702600 | NJ | Primary |
Addresses
Primary practice location
106 Straube Center Blvd FL 5
Pennington, NJ 08534-1449
Mailing address
PO Box 5801
Somerset, NJ 08875-5801
Phone (609) 759-1322
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00702600 | NJ | MD | Group Psychotherapy Psychologist |
| 025575 | NY | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1346939477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5801",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088755801",
"telephone_number": "609-759-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 STRAUBE CENTER BLVD FL 5",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085341449",
"telephone_number": "609-759-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DEBEKA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "025575",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NJ",
"license": "35SI00702600",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NY",
"license": "025575",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "35SI00702600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.