Active NPI
Benita K Chernyk, PH.D., LLC
- Clinical Psychologist
- Independence, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benita K Chernyk, PH.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0825727 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://benitachernyk.com/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Psychologist
- Independence, OH
- NPI 1902810328
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.