Active NPI
Jillian Bennett, PH.D.
- Psychologist
- Natick, MA
National Provider Identifier
1598046674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9400
- Practice address
- 99 E Central St Ste 7-8
Natick, MA 01760-3647 - Phone
- (781) 591-7475
- Fax
- (508) 655-5753
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 9400 | MA | Primary |
Addresses
Primary practice location
99 E Central St Ste 7-8
Natick, MA 01760-3647
Mailing address
99 E Central St Ste 7-8
Natick, MA 01760-3647
Phone (781) 591-7475
Other practice location 1
687 Highland Ave
2nd Floor
Needham, MA 02494-2232
Phone (781) 559-8444 ext. 115
Other practice location 2
687 Highland Ave
2nd Floor
Needham, MA 02494-2232
Phone (781) 559-8444 ext. 115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett Assessment and Behavior Center for Children, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Natick, MA
- NPI 1710489091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598046674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E CENTRAL ST STE 7-8",
"city": "NATICK",
"state": "MA",
"postal_code": "017603647",
"telephone_number": "781-591-7475",
"fax_number": "508-655-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E CENTRAL ST STE 7-8",
"city": "NATICK",
"state": "MA",
"postal_code": "017603647",
"telephone_number": "781-591-7475",
"fax_number": "508-655-5753"
}
],
"practiceLocations": [
{
"address_1": "687 Highland Ave",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "024942232",
"country_code": "US",
"telephone_number": "781-559-8444 x115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "687 Highland Ave",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "024942232",
"country_code": "US",
"telephone_number": "781-559-8444 x115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "JILLIAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.