Active NPI
David Benson, PH.D.
- Clinical Psychologist
- Pueblo, CO
National Provider Identifier
1891125407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0002358
- Practice address
- 503 N Main St
Suite 326
Pueblo, CO 81003-3130 - Phone
- (719) 583-0641
- Fax
- (719) 635-8631
- NPI assigned
- Nov 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0002358 | CO | Primary |
Addresses
Primary practice location
503 N Main St
Suite 326
Pueblo, CO 81003-3130
Mailing address
PO Box 1268
Colorado Springs, CO 80901-1268
Phone (720) 291-8915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002358 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Wellness & Life Enhancement Center | Past | Accepting new patients | |
| Arkansas Peak Psychological Services, PPLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Pueblo, CO
- NPI 1528498078
-
- Clinical Social Worker
- Pueblo, CO
- NPI 1689012569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1891125407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1268",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809011268",
"telephone_number": "720-291-8915",
"fax_number": "719-635-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N MAIN ST",
"address_2": "SUITE 326",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033130",
"telephone_number": "719-583-0641",
"fax_number": "719-635-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "0002358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.