Active NPI
Stephen L. Benson, PSYD, P.a.
- Clinical Psychologist
- Wichita, KS
National Provider Identifier
1679636609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1127
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070206000520 | KS | Part B Supplier - Clinic/Group Practice | 6901808823 |
Receives reassigned benefits from 1 practitioner Practice locations: Wichita, KS |
National Provider Directory
National Provider DirectoryPractitioners & 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.