Benita K Chernyk, PH.D., LLC
Organization Active NPI Clinical Psychologist · Independence, OH
NPI 1902492499 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1902492499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Benita K Chernyk, PH.D
- Title
- President/ Owner
- Phone
- (216) 382-2929
Practitioners 1
-
Benita K Chernyk, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0825727 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://benitachernyk.com/ | Direct |
Other providers in Independence, OH
- Larica Bell-Collins
- Mary Margaret Bell
- Steve E. Bell
- Shawn M Beltz
- Verdell Benifield
- Jessica Marie Berardi
- Andrea Berke-McLaughlin
- Joshua Berkowitz
- Samantha Berman
- Viera Bernat
All providers in Independence, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.