Active NPI
John Jacob Benish III
- School Psychologist
- Milwaukee, WI
National Provider Identifier
1366283665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 5075 N Sherman Blvd
Milwaukee, WI 53209-5246 - Phone
- (414) 393-4900
- NPI assigned
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
5075 N Sherman Blvd
Milwaukee, WI 53209-5246
Mailing address
1205 N 62ND St Ste 316
Wauwatosa, WI 53213-3071
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1366283665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N 62ND ST STE 316",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532133071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 N SHERMAN BLVD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532095246",
"telephone_number": "414-393-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENISH",
"first_name": "JOHN",
"middle_name": "JACOB",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
- Benevolent Afh LLC
- Benevolent Home Health Care, Inc.
- Curtis Benford
- Chafik Bengana, MD
- Peter Scott Bengtson, R.PH
- Sarah Raquel Benitez, APSW
- Poonam Beniwal-Patel, M.D.
- Kaushalya Beniwal, M D
- Benjamin S Gozon MD SC (Capitol Rehabilitation Clinic)
- Benjamin S Gozon MD SC (Capitol Rehabilitation Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.