Courtney Paul Bennett Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Dedham, MA
NPI 1457697302 · NPPES record last updated Dec 21, 2012
Key facts
- NPI
- 1457697302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 280 Bridge St
Ste 230
Dedham, MA 02026-1759 - Phone
- (781) 320-7607
- Fax
- (781) 326-4654
- NPI assigned
- Dec 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Mentor LLC | Past | Accepting new patients | |
| National Mentor Healthcare, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
280 Bridge St
Ste 230
Dedham, MA 02026-1759
Mailing address
280 Bridge St
Ste 230
Dedham, MA 02026-1759
Phone (781) 320-7607
Other providers in Dedham, MA
- Jaime A Beers
- Behavioral Health and Wellness Center, LLC
- Dorothy M Beke
- Judith Bellevue
- Barry J Benjamin
- Susan Berman
- Nadine Bernadel
- Andrew Bernstein
- Susan Ellen Bernstein
- Meghan Berry
All providers in Dedham, MA · Case Manager/Care Coordinator in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.