Philip Jay Bender, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023128 Issued in NY

Practice address

9 Vassar St Ste 10
Poughkeepsie, NY 12601-3022

Phone

(845) 200-3665

NPI assigned

Feb 11, 2019

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 7, 2019 through Mar 7, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1801352281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VASSAR ST STE 10",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013022",
            "telephone_number": "845-200-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VASSAR ST STE 10",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013022",
            "telephone_number": "845-200-3665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Union Sq E Ste 1006",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033237",
            "country_code": "US",
            "telephone_number": "845-200-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "PHILIP",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radojka Belotti
• Jacqueline Beltrani, NP
• Vincent P Beltrani, M.D.
• Maria Benaissa, LMSW
• Tasha Benbow
• John C Bendheim, MD
• Melinda Benedict, LPN
• Charlene Bennerman
• Nikia Bennett, PHYSICIAN ASSISTANT
• Edward O. Benson

• Clinical Psychologist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.