Individual provider Active NPI

M. Ann Ricard Bender, PH.D.

  • Psychologist
  • Allison Park, PA
National Provider Identifier
1558491225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016194 Issued in PA
Practice address
4655 William Flynn Hwy
Suite 125B Coventry Square Office Center
Allison Park, PA 15101-2243
Phone
(412) 492-8585
Fax
(412) 492-7882
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016194 PA Primary

Addresses

Primary practice location

4655 William Flynn Hwy
Suite 125B Coventry Square Office Center
Allison Park, PA 15101-2243

Mailing address

4655 William Flynn Hwy
Suite 125B Coventry Square Office Center
Allison Park, PA 15101-2243
Phone (412) 492-8585

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000242 PA Practitioner - Clinical Psychologist 2567556665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Psychological Services LLCGroup PAC ID 5698836922, 6 clinicians

Practice addresses (Care Compare)

4655 William Flynn Hwy
Suite 124F
Allison Park, PA 15101-2248
Phone (412) 492-8585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS016194PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Psychological Services, LLC CurrentSince Aug 8, 2008 Accepting new patients
Alliance Psychological Services, LLC Psychologist Past Accepting new patients

Locations

4655 William Flynn Hwy
Ste 125B
Allison Park, PA 15101
Phone (412) 492-8585

4655 William Flynn Hwy
Ste 124F
Allison Park, PA 15101
Phone (412) 492-8585

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558491225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY",
            "address_2": "SUITE 125B COVENTRY SQUARE OFFICE CENTER",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012243",
            "telephone_number": "412-492-8585",
            "fax_number": "412-492-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY",
            "address_2": "SUITE 125B COVENTRY SQUARE OFFICE CENTER",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012243",
            "telephone_number": "412-492-8585",
            "fax_number": "412-492-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "M. ANN",
        "middle_name": "RICARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.