Benson Behavioral Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BENSON BEHAVIORAL HEALTH PLLC

Practice address

1380 Hines St SE
Salem, OR 97302-2528

Phone

(512) 877-5752

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

John Robert Benson, PMHNPNPI 1013478320

Title

Sole Proprietor

Phone

(512) 877-5752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Benson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1013478320

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1467048975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HINES ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022528",
            "telephone_number": "128-775-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HINES ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022528",
            "telephone_number": "512-877-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-09-06",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "512-877-5752",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Benidettino, MSW
• Benjamin R. Wilson, MD, PC
• Debra Lee Bennett, CRM
• Lisa Renee Bennett, FNP, BC
• Minette Bennett, MA, LPC
• Carlene Benson, MSW, LCSW
• Lonny Benson
• Brooke Marie Benton
• Dara Benton
• Steven R Beranek, MD

• Psychiatry Physician in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.