Individual provider Active NPI

Laura Elizabeth Benkov, PH.D.

  • Psychologist
  • Concord, MA
National Provider Identifier
1497965370
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6228 Issued in MA
Practice address
56 Winthrop St
Concord, MA 01742-2076
Phone
(978) 369-3517
Fax
(978) 369-5205
NPI assigned
May 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 6228 MA
Psychologist 103T00000X 6228 MA Primary

Addresses

Primary practice location

56 Winthrop St
Concord, MA 01742-2076

Mailing address

8 Laurel CT
Acton, MA 01720-4405
Phone (978) 369-3517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161219000761 MA Practitioner - Clinical Psychologist 6002196680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

1340 Centre St
Suite 209
Newton, MA 02459-2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6228MAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 9, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 9, 2026 Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (978) 254-4116

1340 Centre St
Ste 209
Newton Centre, MA 02459
Phone (440) 877-6928

Interoperability endpoints

  • Direct secure messaging: laura.benkov.1@28623.direct.athenahealth.com

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497965370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAUREL CT",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204405",
            "telephone_number": "978-369-3517",
            "fax_number": "978-369-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WINTHROP ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422076",
            "telephone_number": "978-369-3517",
            "fax_number": "978-369-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKOV",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "6228",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.