Cheryl L Bennett PHD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3881 Issued in NC

Legal business name

CHERYL L BENNETT PHD PLLC

Practice address

2609 N Duke St
Durham, NC 27704-3048

Phone

(980) 224-3677

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Lynn Bennett, PHD

Title

Owner

Phone

(980) 224-3677

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Cheryl L Bennett Other name

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1871901843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 KILDAIRE FARM RD # 1012",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115525",
            "telephone_number": "980-224-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043048",
            "telephone_number": "980-224-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL L BENNETT PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-224-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107588",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN/TRICARE",
            "identifier": "531923",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9440507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "56162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHA",
            "identifier": "20456",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1543R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheryl L Bennett",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cheryl L Bennett",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jharnell Cofield Cherry, MSW, LCSW
• Michael R Cherry, DDS
• Quianti Khalil Cherry, LCSW-A
• Stephens Whitehurst Cherry, MS, CRC, LCMHC
• Godefroy Sullyvan Chery, M.D
• Everlyne Cheptoo Chesaina
• Sprague Cheshire, P.A.
• Daphne Lynn Chesson
• Chestnut Manor
• Chestnut Manor Mangum Street

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.