Michael H. Bennett, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-5024 Issued in TX

Legal business name

MICHAEL H. BENNETT, PH.D.

Practice address

3608 Preston Rd
Ste. 150
Plano, TX 75093-8655

Phone

(469) 467-0644

Fax

(972) 509-1450

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Harris Bennett, PH.D.

Title

Clinical Psychologist

Phone

(469) 467-0644

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1710150644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD",
            "address_2": "STE. 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938655",
            "telephone_number": "469-467-0644",
            "fax_number": "972-509-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD",
            "address_2": "STE. 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938655",
            "telephone_number": "469-467-0644",
            "fax_number": "972-509-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. BENNETT, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-467-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-5024",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "2-5024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122065901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.