Individual provider Active NPI

Carole S. Benson, PH.D.

  • Psychologist
  • Chicago, IL
National Provider Identifier
1851566764
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071002825 Issued in IL
Practice address
233 E Wacker Dr
Suite 4307
Chicago, IL 60601-5104
Phone
(312) 565-2609
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071002825 IL Primary

Addresses

Primary practice location

233 E Wacker Dr
Suite 4307
Chicago, IL 60601-5104

Mailing address

233 E Wacker Dr
Suite 4307
Chicago, IL 60601-5104
Phone (312) 565-2609

Other identifiers 1

IdentifierTypeStateIssuer
1871614990OtherILCORPORATE NPI # FOR BENSON WEINBERG CLINICAL ASSOCIATES, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000580 IL Practitioner - Clinical Psychologist 3870667249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1031 Wisconsin Ave
Oak Park, IL 60304-1817
Phone (708) 250-3432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071002825ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Weinberg Clinical Associates PC CurrentSince May 5, 2007 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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1851566764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E WACKER DR",
            "address_2": "SUITE 4307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015104",
            "telephone_number": "312-565-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E WACKER DR",
            "address_2": "SUITE 4307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015104",
            "telephone_number": "312-565-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CAROLE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071002825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI # FOR BENSON WEINBERG CLINICAL ASSOCIATES, P.C.",
            "identifier": "1871614990",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.