Individual provider Active NPI

Amanda Bennett, D.O.

  • Psychiatry Physician
  • Brighton, MA
National Provider Identifier
1689025330
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268484 Issued in MA
Practice address
736 Cambridge St
Brighton, MA 02135-2907
Phone
(617) 789-3000
NPI assigned
Jun 23, 2016
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 268484 MA Primary

Addresses

Primary practice location

736 Cambridge St
Brighton, MA 02135-2907

Mailing address

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IA, MT, KS, NE, UT, ME7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20200805000858 MA Practitioner - Psychiatry 9234496845 Reassigns benefits to 3 organizations
I20231121001213 IA Practitioner - Psychiatry 9234496845 Reassigns benefits to 1 organization
I20240103000227 MT Practitioner - Psychiatry 9234496845 Reassigns benefits to 1 organization
I20240212003121 KS Practitioner - Psychiatry 9234496845 Reassigns benefits to 1 organization
I20240312001924 NE Practitioner - Psychiatry 9234496845 Reassigns benefits to 1 organization
I20240515004587 UT Practitioner - Psychiatry 9234496845 Reassigns benefits to 1 organization
I20251119001720 ME Practitioner - Psychiatry 9234496845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of New England, College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

209 Health Park Dr
Libby, MT 59923-2001
Phone (406) 283-7000

355 Main St
Kanab, UT 84741
Phone (855) 270-3625

45 Memorial Cir
Augusta, ME 04330-6400
Phone (855) 270-3624

511 NE 10TH St
Abilene, KS 67410-2153
Phone (855) 270-3625

810 N 22ND St
Memorial Community Hospital and Hea
Blair, NE 68008-1128
Phone (402) 426-2182

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Evizzit of Iowa Psychiatry PC Psychiatry CurrentSince Oct 7, 2023 Accepting new patients
Evizzit of Iowa Psychiatry PC PastSince Dec 26, 2021 Accepting new patients

Locations

1501 42nd St
Ste 120
West Des Moines, IA 50266

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

511 NE 10th St
Abilene, KS 67410
Phone (785) 263-2100

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

115 Mill St
Stop 208
Belmont, MA 02478
Phone (617) 855-2979

265 Franklin St
Ste 1702
Boston, MA 02110
Phone (203) 721-6500

45 Memorial Cir
Augusta, ME 04330
Phone (855) 270-3624

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750

355 N Main St
Kanab, UT 84741
Phone (435) 644-4100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1689025330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "AMANDA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "268484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.