Active NPI
Mark Benisz, PSY.D.
- Clinical Psychologist
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021363
- Practice address
- 873 Route 45 Ste 204a
New City, NY 10956-1124 - Phone
- (845) 293-2345
- NPI assigned
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 021363 | NY | |
| Clinical Psychologist | 103TC0700X | 021363 | NY | Primary |
Addresses
Primary practice location
873 Route 45 Ste 204a
New City, NY 10956-1124
Mailing address
5 Deerwood Rd
Spring Valley, NY 10977-1002
Phone (845) 782-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
978 Route 45
Suite 104
Pomona, NY 10970-3565
Phone (845) 738-8770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021363 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Support LLC | Current | Accepting new patients | |
| Rockland Psychological Services PLLC | Current | Accepting new patients | |
| Medical Diagnostics of Rockland PC | Current | Accepting new patients |
Locations
4403 15th Ave
Ste 499
Brooklyn, NY 11219
Phone (718) 400-9077
545 Broadway
Ste 2B
Brooklyn, NY 11206
Phone (718) 400-9077
491 State Route 208
Monroe, NY 10950
Phone (845) 977-4121
978 Route 45
Ste 104
Pomona, NY 10970
Phone (347) 897-5150
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
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- NPI 1942634555
-
- Adolescent and Children Mental Health Clinic/Center
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- NPI 1255188868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1831560010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DEERWOOD RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771002",
"telephone_number": "845-782-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "873 ROUTE 45 STE 204A",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561124",
"telephone_number": "845-293-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENISZ",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "021363",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.