Janice Drandell Bennett, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10934 Issued in NY

Practice address

255 W 88TH St Apt 6B
New York, NY 10024-1717

Phone

(212) 874-1470

Fax

(866) 411-9117

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1376562785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 88TH ST APT 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241717",
            "telephone_number": "212-874-1470",
            "fax_number": "212-787-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 88TH ST APT 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241717",
            "telephone_number": "212-874-1470",
            "fax_number": "866-411-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JANICE",
        "middle_name": "DRANDELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "10934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01389871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI, VALUEOPTIONS",
            "identifier": "6801086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bennett, LMT
• Eresha Carolyn Bennett, WHNP-BC
• Garrett H. Bennett, M.D.
• Gary J Bennett, R.PH.
• Jamie Bennett
• Janice O. Bennett, PHD.
• Kayla Bennett, LMSW
• Kori Bennett, PSY.D.
• Leslie Kaufmann Bennett, MD
• Lily Grace Bennett, LMSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.