Individual provider Active NPI

Cayleigh Benny Harper, PSYD

  • Clinical Neuropsychologist
  • Niceville, FL
National Provider Identifier
1477927176
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY9446 Issued in FL
Practice address
1403 Cat Mar Rd
Niceville, FL 32578-9742
Phone
(850) 696-6640
Fax
(850) 807-5404
NPI assigned
Nov 18, 2015
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY9446 FL Primary
Clinical Psychologist 103TC0700X PY9446 FL

Addresses

Primary practice location

1403 Cat Mar Rd
Niceville, FL 32578-9742

Mailing address

294 Ketch CT
Destin, FL 32541-5726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001501 FL Practitioner - Clinical Psychologist 6103126602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1403 Cat Mar Rd
Niceville, FL 32578-9742
Phone (850) 696-6640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Matter Neuropsyhcological Consultants, LLC Dba the Mind Studio Clinical Neuropsychologist CurrentSince Jan 1, 2016 Accepting new patients
Michael McManus Associates PA CurrentSince Jul 1, 2001 Accepting new patients

Locations

1403 Cat Mar Rd
Niceville, FL 32578
Phone (850) 696-6640

1417 Partin Dr N
Ste 1
Niceville, FL 32578
Phone (850) 729-0303

Organizations & group practices 2

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1477927176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 KETCH CT",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 CAT MAR RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789742",
            "telephone_number": "850-696-6640",
            "fax_number": "850-807-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNY HARPER",
        "first_name": "CAYLEIGH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9446",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.