Active NPI
April Michelle Bennett, PSY.D.
- Psychologist
- Chapin, SC
National Provider Identifier
1508005455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1344
- Practice address
- 2101 Dutch Fork Rd
Chapin, SC 29036-7576 - Phone
- (910) 742-9242
- Fax
- (888) 746-1787
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- 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 | 1344 | SC | Primary |
Addresses
Primary practice location
2101 Dutch Fork Rd
Chapin, SC 29036-7576
Mailing address
PO Box 538622
Atlanta, GA 30353-8622
Phone (910) 742-9243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150422001066 | SC | Practitioner - Clinical Psychologist | 4688992787 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lifesource of North Carolina
Practice addresses (Care Compare)
939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1344 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Current | Accepting new patients | |
| Lifesource of North Carolina | Psychologist | Current | Accepting new patients |
Locations
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Milton, FL
- NPI 1730648288
-
- Clinical Social Worker
- Richmond, VA
- NPI 1114419124
-
- Clinical Social Worker
- Pikeville, KY
- NPI 1538728183
-
- Clinical Social Worker
- Holland, OH
- NPI 1619515277
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1811286156
-
- General Practice Physician
- Irondale, AL
- NPI 1821535428
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1871135723
-
- General Practice Physician
- Rome, GA
- NPI 1962940817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1508005455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538622",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303538622",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 DUTCH FORK RD",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290367576",
"telephone_number": "910-742-9242",
"fax_number": "888-746-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "APRIL",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "1344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.