Active NPI
Kenosha Ben
- Intellectual & Developmental Disabilities Psychologist
- Cypress, TX
National Provider Identifier
1730816570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Practice address
- 18203 Waverly Bend LN
Cypress, TX 77433-1253 - Phone
- (713) 382-5017
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
18203 Waverly Bend LN
Cypress, TX 77433-1253
Mailing address
18203 Waverly Bend LN
Cypress, TX 77433-1253
Phone (713) 382-5017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cozy Transitional Hospice Care Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Cypress, TX
- NPI 1245943851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1730816570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18203 WAVERLY BEND LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774331253",
"telephone_number": "713-382-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18203 WAVERLY BEND LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774331253",
"telephone_number": "713-382-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEN",
"first_name": "KENOSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
- Sandra Margaret Bello, MD
- Dafina Belot, LMSW
- Annette Beltran, LCSW
- Bemed Medical, Speech Language Swallowing & Rehabilitation Center
- Bemed Medical, Speech Language Swallowing & Rehabilitation Center
- Noris E Benitez
- Benjamin R Mason DMD PLLC
- Amber A Bermudez, FNP
- Patricia Bernal-Carreon, PTA
- Bernard Himel Ba MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.