Thomas S Bennett, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

336 Issued in AL

Practice address

3737 Government Blvd Ste 203
Mobile, AL 36693-4310

Phone

(251) 300-7134

Fax

(251) 202-7851

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Southern Psychiatry Associates LLC

  • Psychiatry Physician
  • Mobile, AL
  • NPI 1346693298
  Medicare reassignment NPD
• Ford Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1790177350
  NPD (past)
• Winds of Change Psychological Services of Mobile

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1912236779
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1679513683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1160",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365611160",
            "telephone_number": "251-928-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD STE 203",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934310",
            "telephone_number": "251-300-7134",
            "fax_number": "251-202-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 S McKenzie St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365351947",
            "country_code": "US",
            "telephone_number": "251-928-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Greeno Rd N Ste D-2",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323056",
            "country_code": "US",
            "telephone_number": "251-928-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Christine Benmansour
• Candace Bennett, M.S.,CCC-SLP
• Donna Christine Bennett, MD
• J. Michael Bennett, PHARM D
• Kenneth W Bennett, CRNA
• Todd M Bennett, DDS, MDS
• April S Benson, RN
• Regenia Benson
• David B Bentley, ATC
• Emily Sawyer Bentley, DNP

• Psychologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.