Benjamin Bernstein, PH.D.
Individual provider Active NPI Clinical Psychologist · New Canaan, CT
NPI 1720860554 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1720860554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4643 (CT)
- Practice address
- 208 Valley Rd
New Canaan, CT 06840-3812 - Phone
- (314) 504-8482
- NPI assigned
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Psychology Group LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4643 | CT | Yes |
Addresses
Primary practice location
208 Valley Rd
New Canaan, CT 06840-3812
Mailing address
37 Ledge LN
Stamford, CT 06905-3321
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- Alison Birnbaum
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All providers in New Canaan, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.