Howard Benditsky, PH.D.
Individual provider Active NPI Clinical Psychologist · Milford, CT
NPI 1477586824 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477586824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 000726 (CT)
- Practice address
- 88 Noble Ave
Milford, CT 06460-4738 - Phone
- (203) 877-6100
- NPI assigned
- Jul 9, 2006
- 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)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000726 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Past | Accepting new patients | |
| State of Connecticut | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 000726 | CT | Yes |
Addresses
Primary practice location
88 Noble Ave
Milford, CT 06460-4738
Mailing address
88 Noble Ave
Milford, CT 06460-4738
Phone (203) 877-6100
Other providers in Milford, CT
- Brian L. Beaulieu
- Behavioral Wellness Associates, LLC
- Charlotte Bell
- Shakira Belle
- Benchmark Assisted Living LLC
- Janet Benedict
- Cassandra Sharilynn Bennett
- Patrick J. Benton
- Alan J Berkson
- Cindy Bernfeld
All providers in Milford, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.