Active NPI
Bennett Evolution
- Clinical Psychologist
- Westerville, OH
National Provider Identifier
1841001187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BENNETT EVOLUTION
- Practice address
- 3 West Main St
Suite #202
Westerville, OH 43081-2195 - Phone
- (614) 356-0540
- NPI assigned
- Jan 16, 2025
- Organization subpart
- Yes
- Parent organization
- DOUGLAS BENNETT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Bennett
- Title
- Psychologist/Owner
- Phone
- (614) 356-0540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3 West Main St
Suite #202
Westerville, OH 43081-2195
Mailing address
3 West Main St
Suite #202
Westerville, OH 43081-2195
Phone (614) 356-0540
National Provider Directory
National Provider Directory- Part of
- Bennett Evolution
Locations
3 W Main St
Ste 202
Westerville, OH 43081
Phone (614) 356-0540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1841001187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WEST MAIN ST",
"address_2": "SUITE #202",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812195",
"telephone_number": "614-356-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WEST MAIN ST",
"address_2": "SUITE #202",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812195",
"telephone_number": "614-356-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT EVOLUTION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DOUGLAS BENNETT",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "614-356-0540"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.