Doreen Diane Benjamin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006789 Issued in IL

Practice address

977 Lakeview Pkwy Ste 165
Vernon Hills, IL 60061-1444

Phone

(847) 867-7236

Fax

(847) 549-8006

NPI assigned

Jan 17, 2007

Last updated

Dec 14, 2022By the provider in NPPES

Sex

Female

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 IL

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

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doreen Benjamin Psy D LTD

  dba Doreen Benjamin, PSy. D.

  • Clinical Psychologist
  • Vernon Hills, IL
  • NPI 1881329076
  Medicare reassignment NPD Authorized official
• Elena Frankfurt MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vernon Hills, IL
  • NPI 1609172964
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1710039979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY STE 165",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611444",
            "telephone_number": "847-867-7236",
            "fax_number": "847-549-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY STE 165",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611444",
            "telephone_number": "847-867-7236",
            "fax_number": "847-549-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "DOREEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Integrated Therapies
• Cindy W Bean, OT
• Emily Beaver, OTD, OTR/L
• Elizah Kathryn Becker, PA-C
• Chantel Nazari Beltran
• Yelena Berman, D.P.T.
• Jennifer Berning, CCC - SLP/L
• Madeline Berry, LCSW
• Katerina Bessarab, RN
• Gauri Bhatnagar, MD

• Clinical Psychologist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.