Active NPI
Laura Benedict, PHD
- Clinical Psychologist
- Orchard Park, NY
National Provider Identifier
1750311601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011413-1
- Practice address
- 6541 Webster Rd
Orchard Park, NY 14127-1920 - Phone
- (716) 667-7031
- NPI assigned
- Jul 4, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 011413-1 | NY | Primary |
Addresses
Primary practice location
6541 Webster Rd
Orchard Park, NY 14127-1920
Mailing address
6541 Webster Rd
Orchard Park, NY 14127-1920
Phone (716) 667-7031
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000511444003 | Other | NY | BLUE CROSS & BLUE SHIELD |
| 00020247201 | Other | NY | UNIVERA |
| 6802078 | Other | NY | GHI |
| 6106930 | Other | NY | INDEPENDENT HEALTH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011413-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1750311601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6541 WEBSTER RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271920",
"telephone_number": "716-667-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6541 WEBSTER RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271920",
"telephone_number": "716-667-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "LAURA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011413-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "000511444003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020247201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6802078",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6106930",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.