Active NPI
Benjamin L Keener, PSYD
- Psychologist
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016183
- Practice address
- 283 S Butler Rd
Lebanon, PA 17042-8939 - Phone
- (717) 273-8871
- Fax
- (717) 270-2452
- NPI assigned
- Dec 24, 2007
- Last updated
- Feb 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016183 | PA | Primary |
Addresses
Primary practice location
283 S Butler Rd
Lebanon, PA 17042-8939
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
239 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS016183 | Other | PA | STATE LICENSE - PSYD |
| 103362392 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
239 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422
2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954
283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016183 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philhaven | Current | Accepting new patients | |
| Philhaven | Current | Accepting new patients | |
| Philhaven | Current | Accepting new patients |
Locations
785 5th Ave
Ste 3
Chambersburg, PA 17201
2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954
204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777
283 S Butler Rd
Lebanon, PA 17042
283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1477737633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 S BUTLER RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428939",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2452"
}
],
"practiceLocations": [
{
"address_1": "239 S Butler Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170428939",
"country_code": "US",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENER",
"first_name": "BENJAMIN",
"middle_name": "L",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - PSYD",
"identifier": "PS016183",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103362392",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.