Individual provider Active NPI

James Benton

  • Psychologist
  • Great Neck, NY
National Provider Identifier
1881073187
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
048.0111577 Issued in VT
Practice address
63 Piccadilly Rd
Great Neck, NY 11023-1549
Phone
(516) 732-0960
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 048.0111577 VT Primary
Clinical Psychologist 103TC0700X 048.0111577 VT

Addresses

Primary practice location

63 Piccadilly Rd
Great Neck, NY 11023-1549

Mailing address

63 Piccadilly Rd
Great Neck, NY 11023-1549
Phone (516) 732-0960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150730010607 VT Practitioner - Clinical Psychologist 3870807225 Reassigns benefits to 1 organization
I20190410000141 NY Practitioner - Clinical Psychologist 3870807225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brattleboro RetreatGroup PAC ID 7012828908, 61 clinicians

Practice addresses (Care Compare)

22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Retreat CurrentSince Jun 1, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Mar 15, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Mar 15, 2019 Accepting new patients
Brattleboro Retreat PastSince Jun 1, 2015 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

1 Anna Marsh Ln
Dummerston, VT 05301

Organizations & group practices 4

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1881073187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PICCADILLY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231549",
            "telephone_number": "516-732-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PICCADILLY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231549",
            "telephone_number": "516-732-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "048.0111577",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0111577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.