Organization Active NPI

Stephen L. Benson, PSYD, P.a.

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1679636609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1127 Issued in KS
Legal business name
STEPHEN L. BENSON, PSYD, P.A.
Practice address
833 N Waco Ave Ste 200
Wichita, KS 67203-3955
Phone
(316) 263-2351
Fax
(316) 263-3685
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen L Benson, PSY.D.NPI 1316920473
Title
Licensed Clinical Psychologist
Phone
(316) 263-2351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1127 KS Primary

Addresses

Primary practice location

833 N Waco Ave Ste 200
Wichita, KS 67203-3955

Mailing address

833 N Waco Ave Ste 200
Wichita, KS 67203-3955
Phone (316) 263-2351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000520 KS Part B Supplier - Clinic/Group Practice 6901808823 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679636609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N WACO AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033955",
            "telephone_number": "316-263-2351",
            "fax_number": "316-263-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N WACO AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033955",
            "telephone_number": "316-263-2351",
            "fax_number": "316-263-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L. BENSON, PSYD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "316-263-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.