Organization Active NPI

Benita K Chernyk, PH.D., LLC

  • Clinical Psychologist
  • Independence, OH
National Provider Identifier
1902492499
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BENITA K CHERNYK, PH.D., LLC
Practice address
5005 Rockside Rd
Crown Centre Ste 600
Independence, OH 44131-6837
Phone
(216) 382-2929
Fax
(216) 465-2829
NPI assigned
Dec 18, 2020
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. Benita K Chernyk, PH.DNPI 1902810328
Title
President/ Owner
Phone
(216) 382-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

5005 Rockside Rd
Crown Centre Ste 600
Independence, OH 44131-6837

Mailing address

PO Box 202653
Cleveland, OH 44120-8127
Phone (216) 382-2929

Other practice location 1

3014 Manchester Rd
Shaker Heights, OH 44122-2524
Phone (216) 382-2929

Other identifiers 1

IdentifierTypeStateIssuer
0825727MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://benitachernyk.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728002192 OH Part B Supplier - Clinic/Group Practice 4183027154 Receives reassigned benefits from 1 practitioner
Practice locations: Shaker Heights, OH; Independence, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1902492499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202653",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441208127",
            "telephone_number": "216-382-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ROCKSIDE RD",
            "address_2": "CROWN CENTRE STE 600",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316837",
            "telephone_number": "216-382-2929",
            "fax_number": "216-465-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3014 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441222524",
            "country_code": "US",
            "telephone_number": "216-382-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENITA K CHERNYK, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "CHERNYK",
        "authorized_official_first_name": "BENITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "216-382-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0825727",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://benitachernyk.com/",
            "affiliation": "N",
            "endpointDescription": "Through this website you can connect to Dr. Benita Chernyk directly",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website connection with link to Dr. Chernyk",
            "address_1": "6133 Rockside Rd Ste 207",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.