Laura Elizabeth Benkov, PH.D.
Individual provider Active NPI Psychologist · Concord, MA
NPI 1497965370 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1497965370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6228 (MA)
- Practice address
- 56 Winthrop St
Concord, MA 01742-2076 - Phone
- (978) 369-3517
- Fax
- (978) 369-5205
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161219000761 | MA | Practitioner - Clinical Psychologist | 6002196680 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6228 | MA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current |
Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current |
Accepting new patients |
Locations
40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (603) 505-6847
1340 Centre St
Ste 209
Newton Centre, MA 02459
Phone (440) 877-6928
Interoperability endpoints
- laura.benkov.1@28623.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6228 | MA | |
| Psychologist | 103T00000X | 6228 | MA | Yes |
Addresses
Primary practice location
56 Winthrop St
Concord, MA 01742-2076
Mailing address
8 Laurel CT
Acton, MA 01720-4405
Phone (978) 369-3517
Other providers in Concord, MA
- Russell Beebe
- Donald G Bell Jr.
- Sara Gordon Belmont
- Leah Beth Benjamin
- Peter Scott Benjamin
- Molly A Benson
- Terri Stone Benton
- Karen Benyo
- Joseph M Bergen
- Seamus Anthony Bergen
All providers in Concord, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.